INTEGRATED PSYCHOLOGICAL SERVICES LLC
NPI 1790964807
Psychologist - Clinical in Gainesville, FL
About Integrated Psychological Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED PSYCHOLOGICAL SERVICES LLC (NPI 1790964807) is a healthcare organization registered as a clinical in Gainesville, Florida and active in the NPI registry since October 2007. The organization lists Jeffrey Gedney, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integrated Psychological Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Integrated Psychological Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Macclenny, FL 32063
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Integrated Psychological Services LLC's NPI number?
The NPI number for Integrated Psychological Services LLC is 1790964807. It was assigned to this organization in the NPPES registry on October 25, 2007.
Where is Integrated Psychological Services LLC located?
Integrated Psychological Services LLC is located at 2631 NW 41st St Ste E5, Gainesville, FL 32606. The listed phone number is (808) 747-5435.
What is Integrated Psychological Services LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Integrated Psychological Services LLC enrolled in Medicare?
Yes. Integrated Psychological Services LLC is registered in the Medicare PECOS enrollment system.
When is Integrated Psychological Services LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Integrated Psychological Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Integrated Psychological Services LLC, in Clinical Psychologist and Psychologist Billing Independently. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Integrated Psychological Services LLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Integrated Psychological Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Integrated Psychological Services LLC was last updated on March 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Integrated Psychological Services Llc · NPI 1790964807
Clinical organization in Gainesville, Florida. Organization record, active in the CMS NPPES registry since October 25, 2007.
## Identity
- **NPI:** 1790964807 (Entity type: Organization)
- **Enumerated:** October 25, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Gedney, OWNER
## Practice location
- **Address:** 2631 NW 41ST ST STE E5, Gainesville, FL 32606-6689
- **Phone:** (808) 747-5435 · **Fax:** (866) 384-4779
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (1), Psychologist Billing Independently (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2014
- **Other identifiers:** Medicare PIN K9478
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Source: [NPI Profile](https://npiprofile.com/npi/1790964807) · Data from the CMS NPPES public registry.