GREGORY DECLUE (NPI# 1154526051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154526051 |
| Entity Type | Individual |
| Full Name | GREGORY DECLUE |
| Credential | PH.D. |
| Practice Address |
16443 Winburn Pl Sarasota FL 34240-9228 |
| Practice Telephone | 9419516674 |
| Practice Fax Number | 9419516674 |
| Mailing Telephone | 9419516674 |
| Mailing Fax Number | 9419516674 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY0003427 | FL | Behavioral Health & Social Service Providers |
| Street Address |
16443 WINBURN PL |
| City | SARASOTA |
| State | FL |
| Zip Code | 34240-9228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879794 | Vascular Specialist of Venice and Sarasota Pl | Radiology | 6600 University Parkway, #102, Sarasota, FL 34240 | 2020-07-23 |
| 1659918704 | Jessie Lee Mcgath | Behavior Technician | 8425 Vicela Drive, Sarasota, FL 34240 | 2019-12-09 |
| 1841847217 | Susan Lorraine Sell | Occupational Therapy Assistant | Sensory Solutions LLC, 22 Sarasota Center Blvd, Sarasota, FL 34240 | 2019-08-21 |
| 1366912990 | Mary Cecelia Prado | Behavior Technician | 6976 Professional Parkway, Lakewood Ranch, FL 34240 | 2018-11-27 |
| 1841783172 | Rachel M Sproha | Behavior Technician | 8259 Vicela Dr, Sarasota, FL 34240 | 2018-06-12 |
| 1942792767 | Performance Acupuncture | Acupuncturist | 5212 Paylor Ln, Sarasota, FL 34240 | 2018-06-06 |
| 1194125773 | Magnolia Dialysis LLC | Clinic/Center | 6960 Professional Pkwy E, Units 4 & 5, Sarasota, FL 34240 | 2014-09-02 |
| 1497164370 | Terrie Rierson | Speech-Language Pathologist | 63 Sarasota Center Blvd #101, Sarasota, FL 34240 | 2014-08-05 |
| 1982984134 | Angelheart LLC | Family Medicine | 3004 Seasons Boulivard, Sarasota, FL 34240 | 2011-08-19 |
| 1225259492 | Michael S Goren | Pharmacist | 775 Bell Road, Sarasota, FL 34240 | 2007-05-02 |
| Find all providers in zip 34240 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
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|---|---|---|---|---|
| 1225665441 | Goodman Mental Health | Psychologist | 4315 Beekman Pl, Sarasota, FL 34235-2290 | 2020-03-26 |
| 1689166423 | Ira Harold Hymoff | Psychologist | 5823 Merion Way, Sarasota, FL 34243-3814 | 2018-06-06 |
| 1629343223 | Julie Ellen Hawkins | Psychologist | 3374 Spring Mill Cir, Sarasota, FL 34239-6718 | 2012-03-14 |
| 1346529609 | Mark Michael Condiotte | Psychologist | 3512 S Osprey Ave, Sarasota, FL 34239-5960 | 2011-08-04 |
| 1902196710 | Douglas George Riedmiller | Psychologist | 7705 Holiday Dr, Sarasota, FL 34231-5313 | 2011-04-13 |
| 1750689725 | Malinda Isaacs | Psychologist | 1090 S Tamiami Trl Ste 215, Sarasota, FL 34236-9116 | 2011-03-01 |
| 1902107550 | Michelle G. Robison | Psychologist | 4142 Lancaster Dr, Sarasota, FL 34241-5719 | 2010-11-13 |
| 1467621466 | Judith R Collins | Psychologist | 455 Poincianna Dr, Sarasota, FL 34243-2135 | 2008-02-22 |
| 1629267877 | William Harry Pettibon | Psychologist | 3800 S Tamiami Trl Unit 210, Sarasota, FL 34239-6909 | 2007-10-23 |
| 1245433440 | Cheryl Sorensen Bupp | Psychologist | 1712 Old Summerwood Blvd, Sarasota, FL 34232-2939 | 2007-06-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.