Active NPI
Therapeutic Collaborative, LLC
- Clinical Psychologist
- Sarasota, FL
National Provider Identifier
1407683527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- THERAPEUTIC COLLABORATIVE, LLC
- Practice address
- 6959 White Willow CT
Sarasota, FL 34243-4307 - Phone
- (806) 786-2015
- NPI assigned
- Sep 14, 2024
- Last updated
- Feb 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy D Sims, PHD
- Title
- President
- Phone
- (806) 786-2015
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | Primary |
Addresses
Primary practice location
6959 White Willow CT
Sarasota, FL 34243-4307
Mailing address
6959 White Willow CT
Sarasota, FL 34243-4307
Phone (806) 786-2015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Bradenton, FL
- NPI 1861798589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740268800000",
"number": "1407683527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6959 WHITE WILLOW CT",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342434307",
"telephone_number": "806-786-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6959 WHITE WILLOW CT",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342434307",
"telephone_number": "806-786-2015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC COLLABORATIVE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-14",
"last_updated": "2025-02-23",
"certification_date": "2025-02-23",
"status": "A",
"authorized_official_last_name": "SIMS",
"authorized_official_first_name": "WENDY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "806-786-2015",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
- Theo L Meyer III ,CHTD Pediatrics (Meyer Pediatrics)
- Theo L Meyer III Pediatrics Chartered (Meyer Pediatrics)
- Theodore Simon DC PA (Simon Clinic of Chiropractic)
- Dean Theophilopoulos, M.D.
- Therafit LLC
- Therapeutic Interventions and Consulting Services, Inc.
- Therapeutic Systems
- Therapy Associates of Sarasota
- Therapy Diagnostics & Treatment
- Norma Thermidor
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.