Megan Pethtel, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY12354 Issued in FL

Practice address

2415 University Pkwy Ste 219
Sarasota, FL 34243-2809

Phone

(800) 687-1938

NPI assigned

Aug 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Megan Millikan-Pethtel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Parent and Child Psychological Services PLLC

  • Psychologist
  • Sarasota, FL
  • NPI 1073053054
  NPD (past)

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1356023105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8258 ASTORIA CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342022778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY PKWY STE 219",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432809",
            "telephone_number": "800-687-1938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4071 Bee Ridge Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342332542",
            "country_code": "US",
            "telephone_number": "941-357-4090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETHTEL",
        "first_name": "MEGAN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY12354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "MILLIKAN-PETHTEL",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Drew Leland Peterson, DC
• Jennifer M Peterson, D.O.M, A.P.
• Kimberly A. Peterson, LCSW
• Laurel Peterson, SW
• Matthew C Peterson, D.M.D.
• Alexander Nicholas Petreas, PA-C
• Elena Petrova, DDS
• Jennifer Lynn Petrucci, LMT
• Leah Corinne Petrucci, MA
• William Harry Pettibon, PHD

• 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 Aug 29, 2024; 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.