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Michael Patrick Scully

Counselor - Professional β€’ Gainesville, FL

Active NPI 1275172314 Individual Practitioner Male Practitioner
Practice location in NPPES

1600 Sw Archer Rd
Gainesville, FL 326103003

Call 3522944900 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1600 Sw Archer Rd

Gainesville, FL 326103003

Telephone 3522944900
Organization at the Same NPPES Address or Phone
Faculty Associates, Inc Facility NPI 1659322014

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Cleveland, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2023

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Michael Scully has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Michael Scully as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Gainesville and Florida

22 active clinicians are listed under Counselor - Professional with a practice address in Gainesville, FL (869 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gainesville

4.5% of these 22 clinicians have the CMS telehealth indicator.

4.5% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-17
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES FL MH26468
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20251002000447

Enrollment State Jurisdiction

FL

PECOS Control ID

4981100542

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

22639 Euclid Ave

Cleveland, OH 441171622

Phone: 2164041900

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Andrew Amicarelli , DO

Psychiatry & Neurology - Psychiatry

NPI 1013571157

Doctor of Osteopathic Medicine (D.O.)

Dr. Heinrich Aurnhammer , DO

Student in an Organized Health Care Education/Training Program

NPI 1699411439

Doctor of Osteopathic Medicine (D.O.)

Dr. Trevin Baird , DO

Student in an Organized Health Care Education/Training Program

NPI 1942946785

Doctor of Osteopathic Medicine (D.O.)

Nafisa Choudhury

Student in an Organized Health Care Education/Training Program

NPI 1174260988
Dr. Michael Dallolio , MD

Psychiatry & Neurology - Psychiatry

NPI 1972531226

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 17, 2026

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326103003 (Tel: 3522944900)

πŸ“
Updated Business Mailing Address June 17, 2026

Registered at PO BOX 100256, GAINESVILLE, FL 326100256 (Tel: 3522944900)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2026

Counselor (license number reported to NPPES: FL MH26468)

βœ…
NPI Profile Active January 06, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 06, 2020

Registered at 22639 EUCLID AVE, CLEVELAND, OH 441171622 (Tel: 2164041900)

πŸ“
Business Mailing Address (Initial Record) January 06, 2020

Registered at 4235 W 212TH ST, FAIRVIEW PARK, OH 441261105 (Tel: 4407736803)

πŸ‘€
Provider Name / Credentials (Initial Record) January 06, 2020

Recorded as MICHAEL SCULLY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2020

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: OH 1902169)

🟒
Initial NPI Registration & Enumeration January 06, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275172314
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2020
Last Update: June 17, 2026
Sole Proprietor: No

Mailing Address

Po Box 100256

Gainesville, FL 326100256

Phone: 3522944900

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.