DR. KATIE PATRICIA DALY (M.A., PSY.D.) – Psychologist, NPI 1508286972

DR. KATIE PATRICIA DALY (M.A., PSY.D.) is a healthcare provider. based in Eglin afb, Florida. specializing in PSYCHIATRY. They hold the professional credentials M.A., PSY.D.. They hold a License No. PS017501 (PA). The NPI Number for DR. KATIE PATRICIA DALY (M.A., PSY.D.) is 1508286972

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATIE PATRICIA DALY (M.A., PSY.D.)
NPI
1508286972
Phone
(850) 883-8374
Address
403 N 7TH ST
Enumeration Date
23 April 2014
Last Update Date
23 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8508422424
Graduation Year
2010 (16 years ago)
PAC ID
0446772636
Group Practice PAC ID
6406279348
Professional Enrollment ID
I20250317003524
Address ID
FL325788839NI4566X20XX405
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,954 PSYCHIATRY in FL

Provider Addresses for DR. KATIE PATRICIA DALY (M.A., PSY.D.)

  • 403 N 7TH ST

    EGLIN AIR FORCE BASE

    EGLIN AFB, FL 325425643

    Phone: (850) 883-8374

    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: 2025-03-17

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
I20250317003524IPsychiatryFLTBD

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 32542)

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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: 6406279348View full group profile
NameSpecialtyState
Mental Health CounselorFL
Clinical PsychologistFL

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Frequently asked questions

How do I look up DR. KATIE PATRICIA DALY (M.A., PSY.D.) by NPI?
Use NPI 1508286972 when you need to reference DR. KATIE PATRICIA DALY (M.A., PSY.D.) in forms, claims, or directories.
Is DR. KATIE PATRICIA DALY (M.A., PSY.D.) currently active in the NPI registry?
CMS-published data lists DR. KATIE PATRICIA DALY (M.A., PSY.D.) as an active registrant.
What kind of provider is DR. KATIE PATRICIA DALY (M.A., PSY.D.)?
The page reflects Psychologist for DR. KATIE PATRICIA DALY (M.A., PSY.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KATIE PATRICIA DALY (M.A., PSY.D.)?
The page summarizes Eglin Afb, Florida for DR. KATIE PATRICIA DALY (M.A., PSY.D.); expand the address list for detail.
What if Eglin Afb, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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