Individual provider Active NPI

Shivani Saible, PH.D.

  • Psychologist
  • St Petersburg, FL
National Provider Identifier
1124416995
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY9184 Issued in FL
Practice address
360 Central Ave Ste 1230
St Petersburg, FL 33701-3865
Phone
(727) 565-2424
Fax
(727) 440-8148
NPI assigned
Jan 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY9184 FL Primary

Addresses

Primary practice location

360 Central Ave Ste 1230
St Petersburg, FL 33701-3865

Mailing address

360 Central Ave Ste 1230
St Petersburg, FL 33701-3865
Phone (727) 565-2424

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
I20150401002423 FL Practitioner - Clinical Psychologist 4082931993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saible Neuropsychology LLCGroup PAC ID 7517382013, 6 clinicians

Practice addresses (Care Compare)

360 Central Ave
Suite 1230
St Petersburg, FL 33701-3865
Phone (727) 565-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Saible Neuropsychology LLC CurrentSince May 1, 2016 Accepting new patients
Florida Behavioral Institute PLC CurrentSince Dec 1, 2015 Accepting new patients

Locations

1100 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 518-6444

360 Central Ave
Ste 1230
St Petersburg, FL 33701
Phone (727) 565-2424

1210 66th St N
St Petersburg, FL 33710
Phone (727) 518-6444

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1124416995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE STE 1230",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013865",
            "telephone_number": "727-565-2424",
            "fax_number": "727-440-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE STE 1230",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013865",
            "telephone_number": "727-565-2424",
            "fax_number": "727-440-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIBLE",
        "first_name": "SHIVANI",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.