Ben C Ghozali, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6738 Issued in FL

Practice address

2843 Alt 19
Palm Harbor, FL 34683-1926

Phone

(727) 772-0038

Fax

(727) 787-2348

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ben C. Ghozali, Psy.D., P.a.

  • Clinical Psychologist
  • Palm Harbor, FL
  • NPI 1437388915
  Medicare reassignment NPD Authorized official
• Family Psychology Associates Inc

  • Family Psychologist
  • Safety Harbor, FL
  • NPI 1598801110
  NPD (past)
• Lynda Gurvitz PHD Inc

  • Clinical Psychologist
  • Largo, FL
  • NPI 1356580955
  NPD (past)
• Vericare of Florida, Inc.

  • Clinical Psychologist
  • Lakeland, FL
  • NPI 1851331086
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1689734337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 ALT 19",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831926",
            "telephone_number": "727-772-0038",
            "fax_number": "727-787-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2843 ALT 19",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831926",
            "telephone_number": "727-772-0038",
            "fax_number": "727-787-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOZALI",
        "first_name": "BEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sindhu George, DPT
• Gerardo P. Sison, Jr., M.D., P.a.
• Engy G Gerges
• Hany N Gerges, RPH
• Marco Geris
• Gi Health Specialists of Florida LLC
• John Joseph Giaccone, RPH
• Brooklin Gianaros
• Anne B Gielisse, ARNP
• Ingrid Elliott Gilbert, PT

• Clinical Psychologist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.