Individual provider Active NPI

Perry W Kaly, PHD

  • Psychologist
  • Tampa, FL
National Provider Identifier
1891747044
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6377 Issued in FL
Practice address
10910 Sheldon Rd
Tampa, FL 33626-4701
Phone
(813) 796-8029
Fax
(813) 891-1311
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY6377 FL Primary

Addresses

Primary practice location

10910 Sheldon Rd
Tampa, FL 33626-4701

Mailing address

10910 Sheldon Rd
Tampa, FL 33626-4701
Phone (813) 796-8029

Other identifiers 1

IdentifierTypeStateIssuer
54416OtherFLBLUE CROSS BLUE SHIELD

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
I20070424000111 FL Practitioner - Clinical Psychologist 1759486517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Florida College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10910 Sheldon Rd
Tampa, FL 33626-4701
Phone (813) 796-8209

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaly Psychological Services Inc. CurrentSince Jul 17, 2007 Accepting new patients
Emergent Care Psychologists PA Past Accepting new patients

Locations

5046 73rd Ave N
Pinellas Park, FL 33781
Phone (727) 541-5436

10910 Sheldon Rd
Tampa, FL 33626
Phone (813) 386-6800

12167 W Linebaugh Ave
Tampa, FL 33626
Phone (813) 386-6800

Organizations & group practices 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1891747044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264701",
            "telephone_number": "813-796-8029",
            "fax_number": "813-891-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264701",
            "telephone_number": "813-796-8029",
            "fax_number": "813-891-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALY",
        "first_name": "PERRY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "54416",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.