MR. GARY JOSEPH SANTUCCI (ED.S) – Marriage & Family Therapist, NPI 1174676019

MR. GARY JOSEPH SANTUCCI (ED.S) is a healthcare provider. based in Davie, Florida. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials ED.S. They hold a License No. MT0000682 (FL). The NPI Number for MR. GARY JOSEPH SANTUCCI (ED.S) is 1174676019

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
MR. GARY JOSEPH SANTUCCI (ED.S)
NPI
1174676019
Phone
(954) 474-1119
Address
4801 S UNIVERSITY DR
Enumeration Date
22 January 2007
Last Update Date
12 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544741119
Graduation Year
1974 (52 years ago)
PAC ID
6204072507
Professional Enrollment ID
I20231228003924
Address ID
FL333283836DA4801XDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

324 MARRIAGE AND FAMILY THERAPIST in FL

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Provider Addresses for MR. GARY JOSEPH SANTUCCI (ED.S)

  • Affordable Hypnosis, 4801, South University Drive, Davie, Broward County, Florida, 33328, United States

    #115

    DAVIE, FL 333283839

    Phone: (954) 474-1119

    Fax: (954) 474-1118

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231228003924IMarriage And Family TherapistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33328)

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Reviews

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Frequently asked questions

What federal number belongs to MR. GARY JOSEPH SANTUCCI (ED.S)?
The federal identifier for MR. GARY JOSEPH SANTUCCI (ED.S) is NPI 1174676019.
Does this profile mean MR. GARY JOSEPH SANTUCCI (ED.S) is currently active?
Yes — MR. GARY JOSEPH SANTUCCI (ED.S) appears active in the national provider directory.
Can you summarize MR. GARY JOSEPH SANTUCCI (ED.S)'s specialty in plain language?
Clinically, the directory lists MR. GARY JOSEPH SANTUCCI (ED.S) with Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Where is MR. GARY JOSEPH SANTUCCI (ED.S)'s primary listing?
We display Davie, Florida because that is what the record indicates for MR. GARY JOSEPH SANTUCCI (ED.S).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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