Individual provider Active NPI

Wendy Sims, PH.D.

  • Clinical Psychologist
  • Bradenton, FL
National Provider Identifier
1861798589
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8217 Issued in FL
Practice address
8788 State Road 70 E Ste 101
Bradenton, FL 34202-3705
Phone
(941) 205-7150
Fax
(941) 233-7150
NPI assigned
Jan 27, 2011
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 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 PY8217 FL Primary

Addresses

Primary practice location

8788 State Road 70 E Ste 101
Bradenton, FL 34202-3705

Mailing address

8788 State Road 70 E Ste 101
Bradenton, FL 34202-3705
Phone (941) 205-7150

Other practice location 1

2805 Fruitville Rd Ste 250
Sarasota, FL 34237-5385
Phone (941) 233-7150

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
I20110316000151 FL Practitioner - Clinical Psychologist 3173705969 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY8217FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Collaborative, LLC Clinical CurrentSince Aug 25, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1861798589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8788 STATE ROAD 70 E STE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023705",
            "telephone_number": "941-205-7150",
            "fax_number": "941-233-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8788 STATE ROAD 70 E STE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023705",
            "telephone_number": "941-205-7150",
            "fax_number": "941-233-7150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 Fruitville Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342375385",
            "country_code": "US",
            "telephone_number": "941-233-7150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.