Active NPI
David Stephen Peters, PH.D.,ABPP
- Clinical Psychologist
- Sarasota, FL
National Provider Identifier
1437186640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0003752
- Practice address
- 73 S Palm Ave
Sarasota, FL 34236-5638 - Phone
- (941) 952-5200
- Fax
- (941) 346-8808
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0003752 | FL | Primary |
Addresses
Primary practice location
73 S Palm Ave
Sarasota, FL 34236-5638
Mailing address
8108 Midnight Pass Rd
Sarasota, FL 34242-2724
Phone (941) 346-8807
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0003752 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437186640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8108 MIDNIGHT PASS RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342422724",
"telephone_number": "941-346-8807",
"fax_number": "941-346-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 S PALM AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342365638",
"telephone_number": "941-952-5200",
"fax_number": "941-346-8808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "DAVID",
"middle_name": "STEPHEN",
"credential": "PH.D.,ABPP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY0003752",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.