POTENTIAL PSYCHOLOGICAL SERVICES CORP
NPI 1992186399
Social Worker - Clinical in Dade City, FL

Active since June 11, 2015
13220 SCHARBER RD, DADE CITY, FL 33525(352) 588-5135 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Potential Psychological Services Corp NPPES

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

POTENTIAL PSYCHOLOGICAL SERVICES CORP (NPI 1992186399) is a healthcare organization registered as a clinical in Dade City, Florida and active in the NPI registry since June 2015. The organization lists Daryl D. Bozone, President, as its authorized official.

NPPES Registry Identity

NPI1992186399
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePOTENTIAL PSYCHOLOGICAL SERVICES CORP
Location Address13220 SCHARBER RDDade City, FL 33525-8008
Mailing Address13220 Scharber RdDade City, FL 33525-8008 · (352) 588-5135
Organization SubpartNo
Authorized OfficialDaryl D. BozonePresident · (352) 588-5135
Enumeration DateJune 11, 2015
✔ NPI 1992186399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW8851
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
13220 SCHARBER RD, Dade City, FL 33525

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

Accepted 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)

Potential Psychological Services Corp 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 Potential Psychological Services Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1003086489
13220 SCHARBER RD
Dade City, FL 33525
(352) 588-5135
✔ PECOSSame 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 Potential Psychological Services Corp's NPI number?

The NPI number for Potential Psychological Services Corp is 1992186399. It was assigned to this organization in the NPPES registry on June 11, 2015.

Where is Potential Psychological Services Corp located?

Potential Psychological Services Corp is located at 13220 Scharber Rd, Dade City, FL 33525. The listed phone number is (352) 588-5135.

What is Potential Psychological Services Corp's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Potential Psychological Services Corp enrolled in Medicare?

Yes. Potential Psychological Services Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Potential Psychological Services Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Potential Psychological Services Corp. 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.

What insurance does Potential Psychological Services Corp accept?

Health plans from Ambetter Health and Ambetter of Alabama list Potential Psychological Services Corp 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 Potential Psychological Services Corp was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.