Provider Demographics
NPI:1700774460
Name:KAYLA SCHRICKEL, PSY.D., P.A.
Entity type:Organization
Organization Name:KAYLA SCHRICKEL, PSY.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCHRICKEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYLA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:941-216-6454
Mailing Address - Street 1:12751 NEW BRITTANY BLVD STE 405
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-3694
Mailing Address - Country:US
Mailing Address - Phone:941-216-6454
Mailing Address - Fax:
Practice Address - Street 1:12751 NEW BRITTANY BLVD STE 405
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3694
Practice Address - Country:US
Practice Address - Phone:941-216-6454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty