Individual provider Active NPI

Judith A McInerney, PSY D

  • Clinical Psychologist
  • Sarasota, FL
National Provider Identifier
1083624498
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9294 Issued in FL
Practice address
1090 S Tamiami TRL
Sarasota, FL 34236-9116
Phone
(941) 363-0878
Fax
(833) 449-5224
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY9294 FL Primary

Addresses

Primary practice location

1090 S Tamiami TRL
Sarasota, FL 34236-9116

Mailing address

2216 Deborah Dr
Punta Gorda, FL 33950-8179
Phone (312) 510-7509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151217001233 FL Practitioner - Clinical Psychologist 6507814324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1090 S Tamiami TRL
Sarasota, FL 34236-9116
Phone (941) 363-0878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, PC CurrentSince Feb 14, 2025 Accepting new patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Feb 14, 2025 Accepting new patients
Salt Creek Therapy Center Past Accepting new patients
McKane & Associates, PC PastSince Dec 10, 2011 Accepting new patients

Locations

5500 Bee Ridge Rd
Ste 202
Sarasota, FL 34233
Phone (941) 221-9199

1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005

871 Venetia Bay Blvd
Ste 310
Venice, FL 34285
Phone (941) 346-6465

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1083624498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 DEBORAH DR",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339508179",
            "telephone_number": "312-510-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342369116",
            "telephone_number": "941-363-0878",
            "fax_number": "833-449-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINERNEY",
        "first_name": "JUDITH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.