Individual provider Active NPI

Cheryl Pe, PSY.S. , NCSP

  • School Psychologist
  • Saint Petersburg, FL
National Provider Identifier
1396436085
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS-1183 Issued in FL
Practice address
6740 Crosswinds Dr N Unit L
Saint Petersburg, FL 33710-8606
Phone
(727) 599-3624
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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 SS-1183 FL Primary

Addresses

Primary practice location

6740 Crosswinds Dr N Unit L
Saint Petersburg, FL 33710-8606

Mailing address

4096 Ligustrum Dr
Palm Harbor, FL 34685-3631
Phone (727) 215-3492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SS-1183FLMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1396436085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4096 LIGUSTRUM DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853631",
            "telephone_number": "727-215-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 CROSSWINDS DR N UNIT L",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337108606",
            "telephone_number": "727-599-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PE",
        "first_name": "CHERYL",
        "name_prefix": "Ms.",
        "credential": "PSY.S. , NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS-1183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.