Gregory Declue, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY0003427 Issued in FL

Practice address

16443 Winburn PL
Sarasota, FL 34240-9228

Phone

(941) 951-6674

Fax

(941) 951-6674

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154526051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16443 WINBURN PL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342409228",
            "telephone_number": "941-951-6674",
            "fax_number": "941-951-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16443 WINBURN PL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342409228",
            "telephone_number": "941-951-6674",
            "fax_number": "941-951-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECLUE",
        "first_name": "GREGORY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0003427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Huntley PHD PA
• Timothy Debruyn, D.C.
• Ralph Thomas Decapua, PA-C
• Meredith Decastro, PT
• Miguel Traifalgar Decastro Jr., PT
• Randolph Steven Decos, LMT
• Jared Alan Decubellis
• Robert J Decubellis, D.C., P.A.
• Julia E Dedrickson
• Depender Dedwal, ( R.PH )

• Psychologist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.