DR. NICOLE M WHITT (PSY.D.) – Psychologist, NPI 1205381977

DR. NICOLE M WHITT (PSY.D.) is a healthcare provider. based in Orlando, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. PY9639 (FL). The NPI Number for DR. NICOLE M WHITT (PSY.D.) is 1205381977

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE M WHITT (PSY.D.)
NPI
1205381977
Phone
(407) 704-7608
Address
5401 S Kirkman Rd
Enumeration Date
23 August 2016
Last Update Date
23 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2402013386
Graduation Year
2014 (12 years ago)
PAC ID
6608163936
Group Practice PAC ID
4486182342
Professional Enrollment ID
I20250911005110
Address ID
MD208153786CH4445XAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. NICOLE M WHITT (PSY.D.)

  • 5401 S Kirkman Rd

    Suite 730

    Orlando, FL 328197940

    Phone: (407) 704-7608

    Fax: (407) 982-8516

    Type: Location

  • 13790 Bridgewater Crossings Blvd

    1080

    Windermere, FL 347865446

    Phone: (407) 461-0239

    Type: Location

  • 6735 Conroy Rd Ste 405

    Orlando, FL 328353567

    Phone: (888) 899-7736

    Type: Location

  • 6152, Sunset Isle Drive, Signature Lakes, Winter Garden, Orange County, Florida, 34787, United States

    WINTER GARDEN, FL 347876390

    Phone: (407) 818-8048

    Type: Mailing

  • 33 & Melt - A Grilled Cheese Bar, 13790, Bridgewater Crossings Boulevard, The Retreat at Windermere, Orange County, Florida, 34786, United States

    1080

    WINDERMERE, FL 347865446

    Phone: (407) 461-0239

    Type: Location

  • 101 RIVERFRONT BLVD STE 710

    BRADENTON, FL 342058812

    Phone: (941) 776-4000

    Fax: (941) 845-4963

    Type: Mailing

  • 725 N 12TH AVE BLDG B

    ARCADIA, FL 342668752

    Phone: (863) 494-1242

    Type: Location

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: 2025-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20160929001519IClinical PsychologistFLTBD
I20250911005110IClinical PsychologistDCTBD
I20251014002767IClinical PsychologistTXTBD
I20251015000676IClinical PsychologistVATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90791Psychiatric diagnostic evaluation5252$0
View full utilization report →

Insurance plans in this area (ZIP 32819)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486182342View full group profile
NameSpecialtyState
Clinical PsychologistCA
Clinical PsychologistMD
Clinical Social WorkerMD
Clinical PsychologistCO
Mental Health CounselorMD
Clinical PsychologistNY
Clinical PsychologistTN
Clinical PsychologistNC
Clinical PsychologistTX
Clinical Social WorkerMD

Reviews

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Frequently asked questions

Is DR. NICOLE M WHITT (PSY.D.) listed with a National Provider Identifier?
Yes — DR. NICOLE M WHITT (PSY.D.) has NPI 1205381977 on file in the registry.
Is DR. NICOLE M WHITT (PSY.D.) still an active registrant?
DR. NICOLE M WHITT (PSY.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. NICOLE M WHITT (PSY.D.)?
At a glance, DR. NICOLE M WHITT (PSY.D.) is tied to Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. NICOLE M WHITT (PSY.D.) associated with Orlando?
Public fields place DR. NICOLE M WHITT (PSY.D.) around Orlando, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. NICOLE M WHITT (PSY.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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