MICHAEL ANTHONY SISBARRO (NPI# 1699827808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699827808 |
| Entity Type | Individual |
| Full Name | MICHAEL ANTHONY SISBARRO |
| Credential | PHD |
| Practice Address |
3601 Hendricks Avenue Jacksonville FL 32207 |
| Practice Telephone | 9043962666 |
| Practice Fax Number | 9043962698 |
| Mailing Telephone | 9043962666 |
| Mailing Fax Number | 9043962698 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
SS313 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | Z9890 | 01 |
| PRIVATE HEALTH CARE SYSTE | 9074711 | 01 |
| Street Address |
3601 HENDRICKS AVENUE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780736991 | Sally A Fowler | Social Worker | 3601 Hendricks Avenue, Jacksonville, FL 32207 | 2007-01-17 |
| 1588716799 | Sheldon J Kaplan Phd and Associates | Psychologist | 3601 Hendricks Avenue, Jacksonville, FL 32207 | 2007-01-17 |
| 1518019710 | Paula Jane Griffin | Counselor | 3601 Hendricks Avenue, Jacksonville, FL 32207 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730672049 | Valerie Buckley | Psychologist | 13907 Spoonbill St N, Jacksonville, FL 32224-1388 | 2018-06-11 |
| 1699067348 | Robert Frank Evans | Psychologist | 6505 Fincannon Rd, Jacksonville, FL 32277-1517 | 2011-05-12 |
| 1629550280 | Deanna Zastrow | Psychologist | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2018-08-30 |
| 1831510304 | Psychoeducational Consultant Group | Psychologist | 4745 Sutton Park Ct, Suite 802, Jacksonville, FL 32224-0250 | 2013-12-30 |
| 1871930230 | Laura B Nilsen | Psychologist | 4745 Sutton Park Ct, Suite 802, Jacksonville, FL 32224-0250 | 2013-05-25 |
| 1699912667 | Michael G Mcauley | Psychologist | 9951 Atlantic Blvd, Suite 100b, Jacksonville, FL 32225-6584 | 2009-01-13 |
| 1730281155 | Nicholas Rousis Rousis | Psychologist | 1650 Prudential Dr, Suite 1350, Jacksonville, FL 32207-8147 | 2006-09-05 |
| 1285743732 | Elaine Smart Culvyhouse | Psychologist | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980884 | Gihanna Barbara Jimenez | Psychologist | 7301 Sw 57th Ct Ste 565, South Miami, FL 33143-5334 | 2020-10-20 |
| 1326645177 | Sheila Simchon | Psychologist | 3601 N Park Rd, Hollywood, FL 33021-2529 | 2020-10-05 |
| 1821602145 | Tamara Shirley | Psychologist | 20755 Sw 86th Pl, Cutler Bay, FL 33189-3841 | 2020-09-03 |
| 1194339994 | Jenny Gamble | Psychologist | 33 Knight Boxx Rd # 2, Orange Park, FL 32065-7305 | 2020-08-31 |
| 1154934826 | Joseph Ronald Sura | Psychologist | 154 Cunningham Ln, Big Pine Key, FL 33043-4837 | 2020-08-24 |
| 1871105858 | Bette Dale Garner | Psychologist | 690 Osceola Ave Apt 404, Winter Park, FL 32789-4408 | 2020-08-20 |
| 1528679156 | Brittany Ubaldini-simon | Psychologist | 8505 Bella Way, Tampa, FL 33635-6005 | 2020-08-17 |
| 1710598263 | Ramon Delgado Jr. | Psychologist | 10376 Nw 3rd St, Plantation, FL 33324-1702 | 2020-08-10 |
| 1588274047 | Kristen Rave | Psychologist | 3223 E Community Dr, Jupiter, FL 33458-8217 | 2020-08-08 |
| 1194334623 | Andrea Latimer | Psychologist | 30953 Water Lily Dr, Brooksville, FL 34602-7740 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on MICHAEL ANTHONY SISBARRO.
| 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.