DR. NICOLE M WHITT (PSY.D.) – Psychologist, NPI 1205381977
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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.
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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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160929001519 | I | Clinical Psychologist | FL | TBD |
| I20250911005110 | I | Clinical Psychologist | DC | TBD |
| I20251014002767 | I | Clinical Psychologist | TX | TBD |
| I20251015000676 | I | Clinical Psychologist | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 52 | 52 | $0 |
Insurance plans in this area (ZIP 32819)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | CA | |
| Clinical Psychologist | MD | |
| Clinical Social Worker | MD | |
| Clinical Psychologist | CO | |
| Mental Health Counselor | MD | |
| Clinical Psychologist | NY | |
| Clinical Psychologist | TN | |
| Clinical Psychologist | NC | |
| Clinical Psychologist | TX | |
| Clinical Social Worker | MD |
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