Individual provider Active NPI

Melina Scally, PSY.D.

  • Clinical Psychologist
  • Tarpon Springs, FL
National Provider Identifier
1003171257
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9480 Issued in FL
Practice address
2611 Keystone Rd
Tarpon Springs, FL 34688-7403
Phone
(407) 432-8743
NPI assigned
Jul 12, 2012
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Psychologist 103TC0700X PY9480 FL Primary

Addresses

Primary practice location

2611 Keystone Rd
Tarpon Springs, FL 34688-7403

Mailing address

608 Meres Blvd
Tarpon Springs, FL 34689-2632
Phone (407) 432-8743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160907001474 FL Practitioner - Clinical Psychologist 9436445186 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Keystone Psychological Services LLCGroup PAC ID 6901251248, 2 clinicians

Practice addresses (Care Compare)

155 E Tarpon Ave
Suite 4
Tarpon Springs, FL 34689-3451
Phone (727) 275-0282

2611 Keystone Rd
Suite B3
Tarpon Springs, FL 34688-7403
Phone (727) 275-0282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Melina Scally PSYD LLC CurrentSince Apr 4, 2016 Accepting new patients
Keystone Psychological Services LLC Mental Health CurrentSince Aug 29, 2023 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince May 1, 2025 Accepting new patients
Shannon Caramiello, PSYD, LLC PastSince Aug 29, 2023 Accepting new patients

Locations

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

155 E Tarpon Ave
Ste 4
Tarpon Springs, FL 34689
Phone (727) 275-0282

2611 Keystone Rd
Ste B3
Tarpon Springs, FL 34688
Phone (727) 275-0282

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1003171257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 MERES BLVD",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346892632",
            "telephone_number": "407-432-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 KEYSTONE RD",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346887403",
            "telephone_number": "407-432-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALLY",
        "first_name": "MELINA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.