Individual provider Active NPI

Sumari Oms

  • School Psychologist
  • Sarasota, FL
National Provider Identifier
1093506602
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1497 Issued in FL
Practice address
1945 17TH St Apt C
Sarasota, FL 34234-7520
Phone
(941) 210-0384
Fax
(941) 210-0783
NPI assigned
May 14, 2025
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SS1497 FL Primary

Addresses

Primary practice location

1945 17TH St Apt C
Sarasota, FL 34234-7520

Mailing address

1945 17TH St Apt C
Sarasota, FL 34234-7520
Phone (941) 210-0384

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
I20250528000864 FL Practitioner - Clinical Psychologist 3375062896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Mental Health Services - FL Gulf SW LLCGroup PAC ID 9234523325, 11 clinicians

Practice addresses (Care Compare)

5350 Gulf of Mexico Dr
Suite 203
Longboat Key, FL 34228-2045
Phone (941) 210-0384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SS1497FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carnelian Consulting, LLC Single Specialty CurrentSince May 19, 2025 Accepting new patients
Mindful Mental Health Services - FL Gulf SW LLC Single Specialty CurrentSince May 19, 2025 Accepting new patients

Locations

5350 Gulf of Mexico Dr
Ste 203
Longboat Key, FL 34228
Phone (941) 210-0384

1945 17th St
Apt C
Sarasota, FL 34234
Phone (941) 210-0384

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1093506602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 17TH ST APT C",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342347520",
            "telephone_number": "941-210-0384",
            "fax_number": "941-210-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 17TH ST APT C",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342347520",
            "telephone_number": "941-210-0384",
            "fax_number": "941-210-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMS",
        "first_name": "SUMARI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.