Richard J Sassatelli Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5361 Issued in FL

Legal business name

RICHARD J SASSATELLI INC

Practice address

104 Medical Center Ave
Sebring, FL 33870-5422

Phone

(863) 314-0622

Fax

(863) 314-9640

NPI assigned

May 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard J Sassatelli, PH.D.NPI 1083769897

Title

President, Clinical Psychologist

Phone

(863) 314-0622

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard J Sassatelli, PHD

  • Psychologist
  • Sebring, FL
  • NPI 1083769897

  Clinical

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1053532028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MEDICAL CENTER AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705422",
            "telephone_number": "863-314-0622",
            "fax_number": "863-314-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MEDICAL CENTER AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705422",
            "telephone_number": "863-314-0622",
            "fax_number": "863-314-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J SASSATELLI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "SASSATELLI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "863-314-0622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Leonard Reinshuttle, HAS
• Sherylin Deon Renard, LPN
• Angelise Krystal Reyes
• Shirley Reyes, ARNP
• Georgiann Rice, ED.D.
• Richard R Bobe MD PA
• Richard S Taylor DC PA
• Anna Richard
• Karin Richardson
• Gene Rieder, PHARMD

• Clinical Psychologist in Sebring, FL
• Providers in Sebring, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.