BRENT DECKER, PH.D., PA
NPI 1932485141
Psychologist - Clinical in Panama City, FL

Active since November 01, 2011
11 W 23RD ST, SUITE D1, PANAMA CITY, FL 32405(850) 522-9456(850) 522-9094 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brent Decker, Ph.d., Pa NPPES

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

BRENT DECKER, PH.D., PA (NPI 1932485141) is a healthcare organization registered as a clinical in Panama City, Florida and active in the NPI registry since November 2011. The organization lists Brent Decker, P/v/s/t, as its authorized official.

NPPES Registry Identity

NPI1932485141
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBRENT DECKER, PH.D., PA
Location Address11 W 23RD ST, SUITE D1Panama City, FL 32405-7603
Mailing Address11 W 23rd St, Suite D1Panama City, FL 32405-7603 · (850) 522-9456 · Fax (850) 522-9094
Fax(850) 522-9094
Organization SubpartNo
Authorized OfficialBrent DeckerP/v/s/t · (850) 522-9456
Enumeration DateNovember 1, 2011
✔ NPI 1932485141 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 · PY5989
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.
11 W 23RD ST, Panama City, FL 32405

Other Identifiers 1

Medicare UPINS80457FL

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)

Brent Decker, Ph.d., Pa 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 Brent Decker, Ph.D., PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1427069251
11 W 23RD ST BLDG D1
Panama City, FL 32405
(850) 522-9456
✔ PECOS✔ Accepts MedicareSame address

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 Brent Decker, Ph.D., PA's NPI number?

The NPI number for Brent Decker, Ph.D., PA is 1932485141. It was assigned to this organization in the NPPES registry on November 1, 2011.

Where is Brent Decker, Ph.D., PA located?

Brent Decker, Ph.D., PA is located at 11 W 23rd St Suite D1, Panama City, FL 32405. The listed phone number is (850) 522-9456.

What is Brent Decker, Ph.D., PA's specialty?

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

Is Brent Decker, Ph.D., PA enrolled in Medicare?

Yes. Brent Decker, Ph.D., PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brent Decker, Ph.D., PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Brent Decker, Ph.D., PA. 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 Brent Decker, Ph.D., PA was last updated on November 1, 2011. 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.