NPIMap

Organization Active NPI

Saible Neuropsychology LLC

  • Clinical Neuropsychologist
  • St Petersburg, FL
National Provider Identifier
1891227047
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY9184 Issued in FL
Legal business name
SAIBLE NEUROPSYCHOLOGY LLC
Practice address
360 Central Ave Ste 1230
St Petersburg, FL 33701-3865
Phone
(727) 565-2424
Fax
(727) 440-8148
NPI assigned
Mar 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Shivani Saible, PH.D.NPI 1124416995
Title
Owner
Phone
(727) 565-2424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X PY9184 FL Primary

Addresses

Primary practice location

360 Central Ave Ste 1230
St Petersburg, FL 33701-3865

Mailing address

360 Central Ave Ste 1230
St Petersburg, FL 33701-3865
Phone (727) 565-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200730003210 FL Part B Supplier - Clinic/Group Practice 7517382013 Receives reassigned benefits from 7 practitioners
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1891227047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE STE 1230",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013865",
            "telephone_number": "727-565-2424",
            "fax_number": "727-440-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE STE 1230",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013865",
            "telephone_number": "727-565-2424",
            "fax_number": "727-440-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAIBLE NEUROPSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "SAIBLE",
        "authorized_official_first_name": "SHIVANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-565-2424",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY9184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.