ADENA ACKERMAN (PSYD) – Clinical Psychologist, NPI 1396292835

ADENA ACKERMAN (PSYD) is a healthcare provider. based in Boca raton, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. PY8499 (FL). The NPI Number for ADENA ACKERMAN (PSYD) is 1396292835

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
ADENA ACKERMAN (PSYD)
NPI
1396292835
Phone
(561) 998-5100
Address
2900 N MILITARY TRL
Enumeration Date
1 September 2016
Last Update Date
1 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9546290435
Graduation Year
2002 (24 years ago)
PAC ID
1658655790
Group Practice PAC ID
2466629530
Professional Enrollment ID
I20170322002841
Address ID
FL334636540LA6323XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for ADENA ACKERMAN (PSYD)

  • North Military Trail, Paradise Palms, Boca Raton, Palm Beach County, Florida, 33486, United States

    BOCA RATON, FL 334316365

    Phone: (561) 998-5100

    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: 2017-03-22

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
I20170322002841IClinical PsychologistFLTBD

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 evaluation105105$0
90832Psychotherapy, 30 minutes5129$0
View full utilization report →

Insurance plans in this area (ZIP 33431)

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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: 2466629530View full group profile
NameSpecialtyState
Clinical PsychologistFL
Clinical Social WorkerFL
Clinical PsychologistPA
Clinical Social WorkerFL
Clinical PsychologistFL

Reviews

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Frequently asked questions

Can I verify ADENA ACKERMAN (PSYD) with an NPI only?
You can start verification with NPI 1396292835 for ADENA ACKERMAN (PSYD), then check state licensing separately.
Does CMS list ADENA ACKERMAN (PSYD) as active?
Yes — ADENA ACKERMAN (PSYD) is active in the NPI listing used on this page.
What is ADENA ACKERMAN (PSYD)'s specialty?
The listing groups ADENA ACKERMAN (PSYD) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Does ADENA ACKERMAN (PSYD) list a practice location?
Patients near Boca Raton, Florida may find ADENA ACKERMAN (PSYD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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