Individual provider Active NPI

Abigail Saneholtz, PSY.D.

  • Clinical Psychologist
  • Safety Harbor, FL
National Provider Identifier
1720329212
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7564 Issued in FL
Practice address
801 2ND St N Ste 7
Safety Harbor, FL 34695-3503
Phone
(727) 725-8820
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY7564 FL Primary

Addresses

Primary practice location

801 2ND St N Ste 7
Safety Harbor, FL 34695-3503

Mailing address

801 2ND St N Ste 7
Safety Harbor, FL 34695-3503
Phone (727) 725-8820

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
I20170828002137 FL Practitioner - Clinical Psychologist 5799057659 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychology Associates Inc CurrentSince Jul 12, 2017 Accepting new patients
Lynda Gurvitz PHD Inc Clinical PastSince Jul 12, 2017 Accepting new patients

Locations

801 2nd St N
Ste 7
Safety Harbor, FL 34695
Phone (727) 725-8820

10751 Maple Creek Dr
Ste 101
Trinity, FL 34655

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1720329212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 2ND ST N STE 7",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953503",
            "telephone_number": "727-725-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 2ND ST N STE 7",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953503",
            "telephone_number": "727-725-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANEHOLTZ",
        "first_name": "ABIGAIL",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.