Anchor Clinic – Health Service Psychologist, NPI 1629161435
Health Service Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Anchor Clinic
850 S Palafox St Unit 103
Pensacola, FL 325025983
Phone: (850) 433-1656
Fax: (850) 433-1996
Type: Location
7552 Navarre Pkwy Unit 54
Navarre, FL 325667305
Phone: (850) 396-6199
Fax: (850) 433-1996
Type: Location
119 Professional Park Dr Ste A
Fairhope, AL 365321939
Phone: (850) 433-1656
Fax: (850) 433-1996
Type: Location
890, South Palafox Street, Pensacola, Escambia County, Florida, 32502, United States
SUITE 300
PENSACOLA, FL 32502
Phone: (850) 433-1656
Fax: (850) 433-1996
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.
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: 2022-09-30
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 |
|---|---|---|---|---|
| O20070424000409 | O | Clinic/Group Practice | FL | TBD |
| O20220930000368 | O | Clinic/Group Practice | AL | 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 32502)
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