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PSYCHOLOGY ASSOCIATES OF BREVARD PLC
NPI 1922200278
Psychologist - Clinical in Melbourne, FL

Active since May 31, 2007
6767 N WICKHAM RD, SUITE 306, MELBOURNE, FL 32940(321) 751-1925(321) 751-9261 Get Directions Write a Review

NPPES record last updated: March 7, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Psychology Associates Of Brevard Plc NPPES

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

PSYCHOLOGY ASSOCIATES OF BREVARD PLC (NPI 1922200278) is a healthcare organization registered as a clinical in Melbourne, Florida and active in the NPI registry since May 2007. The organization lists Patty Heller, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1922200278
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePSYCHOLOGY ASSOCIATES OF BREVARD PLC
Location Address6767 N WICKHAM RD, SUITE 306Melbourne, FL 32940-2031
Mailing Address6767 N Wickham Rd, Suite 306Melbourne, FL 32940-2031 · (321) 751-1925 · Fax (321) 751-9261
Phone(321) 751-1925
Fax(321) 751-9261
Organization SubpartNo
Authorized OfficialPatty HellerOffice Manager · (321) 751-1925
Enumeration DateMay 31, 2007
Last NPPES UpdateMarch 7, 2012
✔ NPI 1922200278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in FL · PY2592✔ Licensed in FL · PY4859
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MH5001 (FL), MH3865 (FL)
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License PY7627 (FL)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License ME79036 (FL)
6767 N WICKHAM RD, Melbourne, FL 32940
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Other Identifiers 2

Medicare ID-Type UnspecifiedK1332FL · Shapiro, P.a.
Medicare ID-Type Unspecified59328YFL · Robert J. Shapiro, Ph.d.

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psychology Associates Of Brevard Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Psychology Associates Of Brevard Plc, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nicolina Demuynck, APRN
Nurse Practitioner
NPI 1104304161
6767 N WICKHAM RD STE 306
Melbourne, FL 32940
(321) 751-1925
✔ PECOS✔ Accepts MedicareSame address
James Ferro, PSYD
Clinical Psychologist
NPI 1477735967
6767 N WICKHAM RD SUITE 306
Melbourne, FL 32940
(321) 751-1925
✔ PECOS✔ Accepts MedicareSame address
Kelly Jo Kaye, LMHC
Mental Health Counselor
NPI 1689740524
6767 N WICKHAM RD SUITE 306
Melbourne, FL 32940
(321) 751-1925
✔ PECOS✔ Accepts MedicareSame address
Astrid Sande, M.D.
Psychiatry
NPI 1578799300
6767 N WICKHAM RD SUITE 306
Melbourne, FL 32940
(321) 751-1925
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Anderson, PH.D.
Clinical Psychologist
NPI 1932987880
6767 N WICKHAM RD STE 306
Melbourne, FL 32940
(321) 751-1925
✔ PECOSSame address
Anna Brenner, PSY.D
Clinical Psychologist
NPI 1740810084
6767 N WICKHAM RD STE 306
Melbourne, FL 32940
(321) 751-1925
✔ PECOS✔ Accepts MedicareSame address
Kristopher Olsen, PHD
Clinical Psychologist
NPI 1083764492
6767 N WICKHAM RD SUITE 306
Melbourne, FL 32940
(321) 751-1925
✔ PECOS✔ Accepts Medicare0.1 mi
Nicole Schultz, APRN
Nurse Practitioner
NPI 1538451703
1565 N HARBOR CITY BLVD
Melbourne, FL 32935
(321) 638-6818
✔ PECOS✔ Accepts Medicare6.7 mi
Ana Paula Leao De Camargo, PSYD
Clinical Psychologist
NPI 1437908050
220 LAGO CIR APT 203
West Melbourne, FL 32904
(407) 818-3550
✔ PECOS✔ Accepts Medicare9.6 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 Psychology Associates Of Brevard Plc's NPI number?

The NPI number for Psychology Associates Of Brevard Plc is 1922200278. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Psychology Associates Of Brevard Plc located?

Psychology Associates Of Brevard Plc is located at 6767 N Wickham Rd Suite 306, Melbourne, FL 32940. The listed phone number is (321) 751-1925.

What is Psychology Associates Of Brevard Plc's specialty?

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

Is Psychology Associates Of Brevard Plc enrolled in Medicare?

Yes. Psychology Associates Of Brevard Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychology Associates Of Brevard Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Psychology Associates Of Brevard Plc. 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. The largest specialties are Clinical Psychologist (5), Nurse Practitioner (2) and Mental Health Counselor (1). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Psychology Associates Of Brevard Plc accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Psychology Associates Of Brevard Plc 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 Psychology Associates Of Brevard Plc was last updated on March 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.