JUSTIN CONRAD KOENITZER (PSYD) – Clinical Psychologist, NPI 1578824421
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,602 CLINICAL PSYCHOLOGIST in FL
Provider Addresses for JUSTIN CONRAD KOENITZER (PSYD)
220 BARTON BLVD
UNIT C14
ROCKLEDGE, FL 329552742
Phone: (321) 639-5177
Fax: (321) 639-4927
Type: Location
PO BOX 1137
MELBOURNE, FL 329021137
Phone: (321) 952-9696
Fax: (321) 952-7937
Type: Mailing
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: 2020-09-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200911000515 | I | Clinical Psychologist | FL | 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 32955)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | MD | |
| Clinical Psychologist | RI | |
| Clinical Psychologist | IL | |
| Clinical Psychologist | FL | |
| P S Y C H I A T R Y | FL | |
| Clinical Social Worker | FL | |
| P S Y C H I A T R Y | FL | |
| Clinical Psychologist | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | MD |
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