Individual provider Active NPI

Domenick Saia

  • School Psychologist
  • Lutz, FL
National Provider Identifier
1790614972
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1845 Issued in FL
Practice address
16708 Longleat Dr
Lutz, FL 33549-6828
Phone
(813) 467-7075
NPI assigned
May 14, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SS1845 FL Primary

Addresses

Primary practice location

16708 Longleat Dr
Lutz, FL 33549-6828

Mailing address

16708 Longleat Dr
Lutz, FL 33549-6828

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SS1845FLMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1790614972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16708 LONGLEAT DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16708 LONGLEAT DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496828",
            "telephone_number": "813-467-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIA",
        "first_name": "DOMENICK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.