BAY AREA PSYCHOLOGICAL SERVICES LLC – Multi-Specialty Clinic/Center, NPI 1457924094

BAY AREA PSYCHOLOGICAL SERVICES LLC is a healthcare provider. based in Largo, Florida. specializing in Multi-Specialty Clinic/Center. The NPI Number for BAY AREA PSYCHOLOGICAL SERVICES LLC is 1457924094

Main info

Organization
Name
BAY AREA PSYCHOLOGICAL SERVICES LLC
NPI
1457924094
Phone
(727) 835-8131
Address
13104 CIMARRON CIR N
Authorized Official
CARITA R SHAWCHUCK PRESIDENT PHD
Enumeration Date
21 July 2021
Last Update Date
21 July 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for BAY AREA PSYCHOLOGICAL SERVICES LLC

  • 13104 CIMARRON CIR N

    LARGO, FL 337744114

    Phone: (727) 835-8131

    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: 2021-09-13

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
O20210913000900OClinic/Group PracticeFLTBD

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 33774)

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Reviews

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Frequently asked questions

What is the standard ID for BAY AREA PSYCHOLOGICAL SERVICES LLC in the U.S.?
In the U.S., BAY AREA PSYCHOLOGICAL SERVICES LLC is identified by NPI 1457924094.
Does the public listing show BAY AREA PSYCHOLOGICAL SERVICES LLC as active?
BAY AREA PSYCHOLOGICAL SERVICES LLC's NPI record reflects an active status in NPPES.
What services align with BAY AREA PSYCHOLOGICAL SERVICES LLC's listing?
BAY AREA PSYCHOLOGICAL SERVICES LLC's public classification highlights Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Is BAY AREA PSYCHOLOGICAL SERVICES LLC tied to Largo, Florida?
If you are local to Largo, Florida, BAY AREA PSYCHOLOGICAL SERVICES LLC may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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