DR. TRACY MALLETT (PSYD) – Psychologist, NPI 1417054990
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,602 CLINICAL PSYCHOLOGIST in FL
Provider Addresses for DR. TRACY MALLETT (PSYD)
8750 SW 132 STREET
MIAMI, FL 33176
Phone: (305) 251-3464
Type: Mailing
725 N 12TH AVE BLDG B
ARCADIA, FL 342668752
Phone: (863) 494-1242
Fax: (861) 491-0466
Type: Location
700 8TH AVE W STE 101
PALMETTO, FL 342214737
Phone: (941) 776-4008
Fax: (941) 845-4963
Type: Mailing
4451 SW 95TH AVE
COOPER CITY, FL 333282419
Phone: (954) 483-1254
Type: Mailing
8201 PETERS RD
PLANTATION, FL 333243265
Phone: (954) 665-4115
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: 2025-10-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20201211001484 | I | Clinical Psychologist | FL | TBD |
| I20240605003422 | I | Clinical Psychologist | AZ | TBD |
| I20240711004308 | I | Clinical Psychologist | CA | TBD |
| I20250408002165 | I | Clinical Psychologist | IA | TBD |
| I20251027002176 | I | Clinical Psychologist | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33176)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | KS | |
| Clinical Psychologist | AZ | |
| Clinical Social Worker | IN | |
| Clinical Psychologist | PA | |
| Marriage And Family Therapist | WA | |
| Clinical Psychologist | RI | |
| Clinical Social Worker | MI | |
| Marriage And Family Therapist | WA | |
| Clinical Social Worker | WA | |
| Clinical Social Worker | IN |
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