DR PSYCHOLOGIST LLC
NPI 1942952312
Psychologist - Clinical in Wesley Chapel, FL

Active since January 26, 2022
26829 TANIC DR STE 101, WESLEY CHAPEL, FL 33544(813) 219-0152 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 4, 2023, Jan 26, 2022 (2 updates tracked since 2022).

About Dr Psychologist Llc NPPES

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

DR PSYCHOLOGIST LLC (NPI 1942952312) is a healthcare organization registered as a clinical in Wesley Chapel, Florida and active in the NPI registry since January 2022. The organization lists Jessica Pena Morales, Owner, as its authorized official.

NPPES Registry Identity

NPI1942952312
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameDR PSYCHOLOGIST LLC
Location Address26829 TANIC DR STE 101Wesley Chapel, FL 33544-4612
Mailing Address2870 Satilla LoopOdessa, FL 33556-2736 · (813) 219-0152
Organization SubpartNo
Authorized OfficialJessica Pena MoralesOwner · (813) 219-0152
Enumeration DateJanuary 26, 2022
Last NPPES UpdateJanuary 4, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1942952312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
26829 TANIC DR STE 101, Wesley Chapel, FL 33544

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Dr Psychologist Llc 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 Dr Psychologist LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1639318819
26829 TANIC DR STE 101
Wesley Chapel, FL 33544
(813) 219-0152
✔ 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 Dr Psychologist LLC's NPI number?

The NPI number for Dr Psychologist LLC is 1942952312. It was assigned to this organization in the NPPES registry on January 26, 2022.

Where is Dr Psychologist LLC located?

Dr Psychologist LLC is located at 26829 Tanic Dr Ste 101, Wesley Chapel, FL 33544. The listed phone number is (813) 219-0152.

What is Dr Psychologist LLC's specialty?

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

Is Dr Psychologist LLC enrolled in Medicare?

Yes. Dr Psychologist LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Psychologist LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Dr Psychologist LLC. 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 Dr Psychologist LLC was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.