MEDICAL PSYCHOLOGY CENTER PA
NPI 1881891174
Psychologist - Clinical in Ormond Beach, FL

Active since June 29, 2007
570 MEMORIAL CIR, STE 150, ORMOND BEACH, FL 32174(386) 672-9250(386) 672-9251 Get Directions Write a Review

NPPES record last updated: January 16, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Medical Psychology Center Pa NPPES

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

MEDICAL PSYCHOLOGY CENTER PA (NPI 1881891174) is a healthcare organization registered as a clinical in Ormond Beach, Florida and active in the NPI registry since June 2007. The organization lists Katherine Marie Billiot, President, as its authorized official.

NPPES Registry Identity

NPI1881891174
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMEDICAL PSYCHOLOGY CENTER PA
Location Address570 MEMORIAL CIR, STE 150Ormond Beach, FL 32174-5002
Mailing Address570 Memorial Cir, Ste 150Ormond Beach, FL 32174-5002 · (386) 672-9250 · Fax (386) 672-9251
Fax(386) 672-9251
Organization SubpartNo
Authorized OfficialKatherine Marie BilliotPresident · (386) 672-9250
Enumeration DateJune 29, 2007
Last NPPES UpdateJanuary 16, 2009
✔ NPI 1881891174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · PY7252
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
570 MEMORIAL CIR, Ormond Beach, FL 32174

Other Identifiers 1

Medicare PINK9680FL

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)

Medical Psychology Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Medical Psychology Center PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1851357990
570 MEMORIAL CIR STE 150
Ormond Beach, FL 32174
(386) 672-9250
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1255747515
2712 S ATLANTIC AVE
Daytona Beach, FL 32118
(386) 265-3267
✔ PECOS✔ Accepts Medicare3.5 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 Medical Psychology Center PA's NPI number?

The NPI number for Medical Psychology Center PA is 1881891174. It was assigned to this organization in the NPPES registry on June 29, 2007.

Where is Medical Psychology Center PA located?

Medical Psychology Center PA is located at 570 Memorial Cir Ste 150, Ormond Beach, FL 32174. The listed phone number is (386) 672-9250.

What is Medical Psychology Center PA's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Medical Psychology Center PA enrolled in Medicare?

Yes. Medical Psychology Center PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Psychology Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Medical Psychology Center PA, in Clinical Psychologist and Clinical Social Worker. 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 at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Medical Psychology Center PA was last updated on January 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.