William E. Riebsame, PH.D.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

PY0004169 Issued in FL

Practice address

1555 Port Malabar Blvd NE
Suite 104
Palm Bay, FL 32905-5407

Phone

(321) 729-0870

Fax

(321) 952-2516

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

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

Practice roles

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.

• Bonnie Slade PH.D. P.a.

  • Clinical Child & Adolescent Psychologist
  • Palm Bay, FL
  • NPI 1629480231
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1215937826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 PORT MALABAR BLVD NE",
            "address_2": "SUITE 104",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055407",
            "telephone_number": "321-729-0870",
            "fax_number": "321-952-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 PORT MALABAR BLVD NE",
            "address_2": "SUITE 104",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055407",
            "telephone_number": "321-729-0870",
            "fax_number": "321-952-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEBSAME",
        "first_name": "WILLIAM",
        "middle_name": "E.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "PY0004169",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY0004169",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0004169",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "FL",
            "license": "PY0004169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobria Rhooms
• Annakay A Rhule, DNP, PMHNP
• Katharine Richardson, D.C.
• Nathan Richardson
• Gillian Ridge-Canoy, M.S., BCABA
• Linda Riley, PH.D.
• Shanelly Rivas, APRN, FNP-C
• Ashley Paola Rivera Roman, PHARMD
• Garion Rivera
• Sully Rivera, MA

• Health Service Psychologist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Health Service Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.