Individual provider Active NPI

Kyle Richard Cieply, PHD

  • Psychologist
  • Sarasota, FL
National Provider Identifier
1548592199
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1135 Issued in SC
Practice address
2621 Cattlemen Rd Ste 204
Sarasota, FL 34232-6212
Phone
(941) 326-3223
NPI assigned
Feb 8, 2010
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1135 SC Primary

Addresses

Primary practice location

2621 Cattlemen Rd Ste 204
Sarasota, FL 34232-6212

Mailing address

5616 Goodpasture GLN
Bradenton, FL 34211-4000
Phone (941) 929-3009

Other practice location 1

570 Memorial Cir Ste 150
Ormond Beach, FL 32174-5062
Phone (386) 672-9250

Other identifiers 1

IdentifierTypeStateIssuer
1135OtherSCSOUTH CAROLINA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140709000306 FL Practitioner - Clinical Psychologist 3577692821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6320 Venture Dr
Suite 203
Lakewood Ranch, FL 34202-5132
Phone (941) 346-6464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1135SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, PC CurrentSince Feb 15, 2024 Accepting new patients
Jeffrey Ferraro, LLC CurrentSince Jun 26, 2026 Accepting new patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Feb 15, 2024 Accepting new patients
Self Medical Group Past Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

6320 Venture Dr
Ste 203
Lakewood Ranch, FL 34202
Phone (941) 346-6464

1090 Tamiami Trl
Sarasota, FL 34236
Phone 94136308782005

2621 Cattlemen Rd
Ste 204
Sarasota, FL 34232
Phone (850) 205-0189

100 2nd Ave N
Ste 320
St Petersburg, FL 33701
Phone (727) 564-9955

871 Venetia Bay Blvd
Ste 310
Venice, FL 34285
Phone (941) 346-6465

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1548592199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 GOODPASTURE GLN",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114000",
            "telephone_number": "941-929-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 CATTLEMEN RD STE 204",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326212",
            "telephone_number": "941-326-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "570 Memorial Cir Ste 150",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321745062",
            "country_code": "US",
            "telephone_number": "386-672-9250",
            "fax_number": "386-672-9251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIEPLY",
        "first_name": "KYLE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-08",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SC",
            "license": "1135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA STATE LICENSE",
            "identifier": "1135",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.