Fred William Theye, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY 6904 Issued in FL

Practice address

850 NW Federal Hwy Ste 210
Stuart, FL 34994-1019

Phone

(877) 721-8989

Fax

(561) 921-8790

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1969

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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

• Cognicare Neuropsychology Specialists

  • Clinical Neuropsychologist
  • Stuart, FL
  • NPI 1942039219
  Medicare reassignment NPD
• Mobile Medical Associates, P.L.

  • Family Nurse Practitioner
  • Palm City, FL
  • NPI 1932496783
  NPD (past)
• Rebecca a Prostko MD PA

  • Specialist
  • Palm City, FL
  • NPI 1194824052
  NPD (past)

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1679537625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 NW FEDERAL HWY STE 210",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941019",
            "telephone_number": "877-721-8989",
            "fax_number": "561-921-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 NW FEDERAL HWY STE 210",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349941019",
            "telephone_number": "877-721-8989",
            "fax_number": "561-921-8790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7711 N Military Trl Ste 144",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334106506",
            "country_code": "US",
            "telephone_number": "877-721-8989 x1",
            "fax_number": "561-921-8790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Belvedere Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334061524",
            "country_code": "US",
            "telephone_number": "877-721-8989 x1",
            "fax_number": "561-921-8790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEYE",
        "first_name": "FRED",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY 6904",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Stuart, FL
• Providers in Stuart, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.