GREGORY JOHN VITALE (PSYD) – Clinical Psychologist, NPI 1194454660
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,034 PSYCHIATRY in VA
Provider Addresses for GREGORY JOHN VITALE (PSYD)
6565 Arlington Blvd Ste 405
Falls Church, VA 220423013
Phone: (703) 596-4796
Type: Location
130 E Bloomingdale Ave
Brandon, FL 335118101
Phone: (813) 444-8760
Fax: (813) 437-1432
Type: Location
950 S GEORGE MASON DR APT 729
ARLINGTON, VA 222041866
Phone:
Type: Mailing
6565 ARLINGTON BLVD STE 405
FALLS CHURCH, VA 220423013
Phone: (703) 596-4796
Type: Location
14 W GORE ST
ORLANDO, FL 328061114
Phone: (321) 841-5725
Fax: (321) 843-1635
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2024-10-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230828003094 | I | Psychiatry | VA | TBD |
| I20241021004059 | I | Psychiatry | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 124 | 24 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 22 | 21 | $0 |
| 96116 | Exam of neurobehavioral status, first hour | 14 | 14 | $0 |
Insurance plans in this area (ZIP 22042)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | FL | |
| Clinical Psychologist | FL | |
| Mental Health Counselor | FL | |
| Clinical Psychologist | FL |
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