PROFESSIONAL PSYCHOLOGICAL SERVICES OF FLORIDA
NPI 1821629593
Psychologist in Lithia, FL

Active since January 30, 2020
15525 STARLING CROSSING DR, LITHIA, FL 33547(813) 351-9235 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 10, 2020, Feb 2, 2020 (2 updates tracked since 2020).

About Professional Psychological Services Of Florida NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL PSYCHOLOGICAL SERVICES OF FLORIDA (NPI 1821629593) is a healthcare organization registered as a psychologist in Lithia, Florida and active in the NPI registry since January 2020. The organization lists Robert Joseph Klukoff, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1821629593
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePROFESSIONAL PSYCHOLOGICAL SERVICES OF FLORIDA
Location Address15525 STARLING CROSSING DRLithia, FL 33547-4021
Mailing AddressPo Box 441Lithia, FL 33547-0441 · (813) 351-9235
Organization SubpartNo
Authorized OfficialRobert Joseph KlukoffPsychologist · (813) 351-9235
Enumeration DateJanuary 30, 2020
Last NPPES UpdateFebruary 10, 20202 updates tracked since enumeration
✔ NPI 1821629593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
15525 STARLING CROSSING DR, Lithia, FL 33547

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Professional Psychological Services Of Florida is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Professional Psychological Services Of Florida, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1104130335
7738 CARRIAGE POINTE DR
Gibsonton, FL 33534
(813) 351-9235
✔ PECOS✔ Accepts Medicare8.8 mi

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 Professional Psychological Services Of Florida's NPI number?

The NPI number for Professional Psychological Services Of Florida is 1821629593. It was assigned to this organization in the NPPES registry on January 30, 2020.

Where is Professional Psychological Services Of Florida located?

Professional Psychological Services Of Florida is located at 15525 Starling Crossing Dr, Lithia, FL 33547. The listed phone number is (813) 351-9235.

What is Professional Psychological Services Of Florida's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Professional Psychological Services Of Florida enrolled in Medicare?

Yes. Professional Psychological Services Of Florida is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Professional Psychological Services Of Florida?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Professional Psychological Services Of Florida. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Professional Psychological Services Of Florida was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.