Individual provider Active NPI

Sanford L Chertock, PH.D.

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1861441347
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY11328 Issued in FL
Practice address
20161 Umbria Hill Dr
Tampa, FL 33647-1932
Phone
(513) 673-9379
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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 PY11328 FL Primary

Addresses

Primary practice location

20161 Umbria Hill Dr
Tampa, FL 33647-1932

Mailing address

20161 Umbria Hill Dr
Tampa, FL 33647-1932
Phone (513) 673-9379

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
I20220106000975 FL Practitioner - Clinical Psychologist 0345378576 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
May accept Medicare assignment
Group practices
Family Psychology Associates IncGroup PAC ID 1557399037, 16 clinicians

Practice addresses (Care Compare)

801 2ND St N
Suite 7
Safety Harbor, FL 34695-3562
Phone (727) 725-8820

Merit-based Incentive Payment System (MIPS)

Final score
81.81 of 100Reported as group
Quality
80.53
Improvement activities
40
Cost
75.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cotler Healthcare & Development Inc. Clinical CurrentSince Apr 6, 2025 Accepting new patients
Harmony United Florida, LLC CurrentSince Jan 3, 2022 Accepting new patients
Gulf to Bay Infectious Disease Consultants PLLC PastSince Jan 3, 2022 Accepting new patients

Locations

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100

2901 W Saint Isabel St
Ste D
Tampa, FL 33607
Phone (352) 702-3765

15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340

Organizations & group practices 4

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1861441347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20161 UMBRIA HILL DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471932",
            "telephone_number": "513-673-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20161 UMBRIA HILL DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471932",
            "telephone_number": "513-673-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERTOCK",
        "first_name": "SANFORD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.