Organization Active NPI

Kayla Schrickel, Psy.D., P.a.

  • Clinical Psychologist
  • Fort Myers, FL
National Provider Identifier
1700774460
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KAYLA SCHRICKEL, PSY.D., P.A.
Practice address
12751 New Brittany Blvd Ste 405
Fort Myers, FL 33907-3694
Phone
(941) 216-6454
NPI assigned
Jun 24, 2025
Last updated
Jun 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Dr. Schrickel Kayla, PSY.D.
Title
President
Phone
(941) 216-6454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

12751 New Brittany Blvd Ste 405
Fort Myers, FL 33907-3694

Mailing address

12751 New Brittany Blvd Ste 405
Fort Myers, FL 33907-3694
Phone (941) 216-6454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260123000231 FL Part B Supplier - Clinic/Group Practice 6002393816 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

12751 New Brittany Blvd
Ste 405
Fort Myers, FL 33907
Phone (941) 216-6454

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1700774460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12751 NEW BRITTANY BLVD STE 405",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073694",
            "telephone_number": "941-216-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 NEW BRITTANY BLVD STE 405",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073694",
            "telephone_number": "941-216-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYLA SCHRICKEL, PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "KAYLA",
        "authorized_official_first_name": "SCHRICKEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-216-6454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.