WILLIAM HARRY PETTIBON (NPI# 1629267877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629267877 |
| Entity Type | Individual |
| Full Name | WILLIAM HARRY PETTIBON |
| Credential | PHD |
| Practice Address |
3800 S Tamiami Trl Unit 210 Sarasota FL 34239-6909 |
| Mailing Address |
6521 Keystone Dr Sarasota FL 34231-7133 |
| Practice Telephone | 9413661693 |
| Practice Fax Number | 9419227574 |
| Mailing Telephone | 9413661693 |
| Mailing Fax Number | 9419227574 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY6096 | FL | Behavioral Health & Social Service Providers |
| Street Address |
3800 S TAMIAMI TRL UNIT 210 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34239-6909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437454212 | William Nicholas Vanderstine | Social Worker | 3800 S Tamiami Trl Unit 210, Sarasota, FL 34239-6909 | 2011-01-25 |
| 1336314707 | William H Pettibon Phd Pa | Psychologist | 3800 S Tamiami Trl Unit 210, Sarasota, FL 34239-6909 | 2008-04-28 |
| 1447425137 | Rachel Joy Wiseman | Clinical Neuropsychologist | 3800 S Tamiami Trl Unit 210, Sarasota, FL 34239-6909 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203327 | All-in-one Medical Clinic | Chiropractor | 3436 Bee Ridge Road, Sarasota, FL 34239 | 2019-12-26 |
| 1134782295 | Kafayat Adebukola Busari | Student in an Organized Health Care Education/Training Program | Florida State University/ Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239 | 2019-04-15 |
| 1235600495 | Karen Andrea Gonzalez | Speech-Language Pathologist | 1524 East Ave South, Sarasota, FL 34239 | 2018-12-16 |
| 1659852101 | Tori Alexandra Phelps | Behavioral Analyst | 2324 Prospect Street, Sarasota, FL 34239 | 2018-08-23 |
| 1518450519 | Love To Care4u Homecare | Adult Companion | 3800 Tamiami Trail Ste 105, Sarasota, FL 34239 | 2018-06-13 |
| 1881119691 | Life Awaits Acupuncture | Acupuncturist | 3030 S Tamiami Trail, Sarasota, FL 34239 | 2017-08-14 |
| 1275084600 | Srq Acupuncture & Massage | Acupuncturist | 1810 South Tuttle Ave, Sarasota, FL 34239 | 2016-10-20 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| 1407246093 | Rhett Ethan Bogacz | Chiropractor | 3400 Bee Ridge Rd Ste 100, Sarasota, FL 34239 | 2015-02-03 |
| 1023436136 | Sarah J. Somer | Obstetrics & Gynecology | 1921 Waldemere St Ste 307, Sarasota, FL 34239 | 2014-04-04 |
| Find all providers in zip 34239 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1154526051 | Gregory Declue | Psychologist | 16443 Winburn Pl, Sarasota, FL 34240-9228 | 2007-06-19 |
| 1245433440 | Cheryl Sorensen Bupp | Psychologist | 1712 Old Summerwood Blvd, Sarasota, FL 34232-2939 | 2007-06-06 |
| Find all providers in SARASOTA | ||||
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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.