Organization Active NPI

Sherry B Leib PHD PA

  • Psychologist
  • Tampa, FL
National Provider Identifier
1609015619
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6080 Issued in FL
Legal business name
SHERRY B LEIB PHD PA
Practice address
4230 S Macdill Ave
Suite 223
Tampa, FL 33611-1901
Phone
(813) 892-6868
Fax
(866) 469-3880
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Sherry Leib, PHD
Title
Owner
Phone
(813) 892-6868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY6080 FL Primary

Addresses

Primary practice location

4230 S Macdill Ave
Suite 223
Tampa, FL 33611-1901

Mailing address

2953 W Knights Ave
Tampa, FL 33611-1662
Phone (813) 892-6868

National Provider Directory

National Provider Directory

Locations

4230 S Macdill Ave
Ste 223
Tampa, FL 33611
Phone (813) 892-6868

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1609015619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 W KNIGHTS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111662",
            "telephone_number": "813-892-6868",
            "fax_number": "866-469-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 S MACDILL AVE",
            "address_2": "SUITE 223",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111901",
            "telephone_number": "813-892-6868",
            "fax_number": "866-469-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY B LEIB PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "LEIB",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-892-6868",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.