Organization Active NPI

David S Peters PHD PA

  • Clinical Psychologist
  • Sarasota, FL
National Provider Identifier
1417252156
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3752 Issued in FL
Legal business name
DAVID S PETERS PHD PA
Practice address
73 S Palm Ave
Suite 215
Sarasota, FL 34236-5638
Phone
(941) 952-5200
Fax
(941) 378-5808
NPI assigned
Jan 11, 2011
Last updated
Jan 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
David S Peters, PHDNPI 1437186640
Title
Owner
Phone
(941) 952-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY3752 FL Primary

Addresses

Primary practice location

73 S Palm Ave
Suite 215
Sarasota, FL 34236-5638

Mailing address

73 S Palm Ave
Suite 215
Sarasota, FL 34236-5638
Phone (941) 952-5200

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1417252156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 S PALM AVE",
            "address_2": "SUITE 215",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365638",
            "telephone_number": "941-952-5200",
            "fax_number": "941-378-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 S PALM AVE",
            "address_2": "SUITE 215",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365638",
            "telephone_number": "941-952-5200",
            "fax_number": "941-378-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S PETERS PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-952-5200",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.