Individual provider Active NPI

Michael Gerome Railey Sr., PH.D.

  • Psychologist
  • Tallahassee, FL
National Provider Identifier
1124216346
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7835 Issued in FL
Practice address
2236 Capital Cir NE Ste 203
Tallahassee, FL 32308-8304
Phone
(850) 727-4757
Fax
(850) 765-6298
NPI assigned
Oct 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY7835 FL
Mental Health Counselor 101YM0800X PY7835 FL
Psychologist 103T00000X PY7835 FL Primary

Addresses

Primary practice location

2236 Capital Cir NE Ste 203
Tallahassee, FL 32308-8304

Mailing address

2236 Capital Cir NE Ste 203
Tallahassee, FL 32308-8304
Phone (850) 727-4757

Other identifiers 2

IdentifierTypeStateIssuer
0725978MedicaidNJ
023897600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140108000551 FL Practitioner - Clinical Psychologist 3072741586 Reassigns benefits to 3 organizations
I20200528000472 NJ Practitioner - Clinical Psychologist 3072741586

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Counseling and Wellness LLCGroup PAC ID 7416308440, 4 clinicians

Practice addresses (Care Compare)

12135 Panama City Beach Pkwy
Panama City Beach, FL 32407-2609
Phone (850) 270-8341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY7835FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Railey & Associates, LLC Counseling CurrentSince Jan 1, 2019 Accepting new patients
Cotler Healthcare & Development Inc. CurrentSince Sep 1, 2018 Accepting new patients
Debra K Carter PH D & Associates PA CurrentSince Aug 19, 2024 Accepting new patients
Healthy Transitions, LLC Mental Health Current Accepting new patients

Locations

306 W Brock Ave
Bonifay, FL 32425
Phone (850) 547-4440

4835 27th St W
Ste 125
Bradenton, FL 34207
Phone (941) 753-0064

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

2509 Barrington Cir
Ste 116
Tallahassee, FL 32308
Phone (850) 421-2100

3101 Ginger Dr
Tallahassee, FL 32308
Phone (850) 877-2177

2236 Capital Cir NE
Ste 203
Tallahassee, FL 32308
Phone (850) 727-4757

2236 Capital Cir NE
Tallahassee, FL 32308
Phone (850) 727-4757

1607 Village Square Blvd
Ste 5
Tallahassee, FL 32309
Phone (850) 294-6906

1 Gateway Ctr
Ste 2600
Newark, NJ 07102
Phone (267) 999-9534

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1124216346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 CAPITAL CIR NE STE 203",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088304",
            "telephone_number": "850-727-4757",
            "fax_number": "850-765-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 CAPITAL CIR NE STE 203",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088304",
            "telephone_number": "850-727-4757",
            "fax_number": "850-765-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAILEY",
        "first_name": "MICHAEL",
        "middle_name": "GEROME",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-12",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY7835",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "PY7835",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0725978",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023897600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.