Individual provider Active NPI

Ronald Louis Peal, PH.D

  • Clinical Psychologist
  • Spring Hill, FL
National Provider Identifier
1932253499
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0003094 Issued in FL
Practice address
5427 Commercial Way
Spring Hill, FL 34606-1110
Phone
(352) 596-9616
Fax
(352) 592-2394
NPI assigned
Jan 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PY0003094 FL Primary

Addresses

Primary practice location

5427 Commercial Way
Spring Hill, FL 34606-1110

Mailing address

PO Box 24244
Tampa, FL 33623-4244
Phone (352) 596-9616

Other identifiers 3

IdentifierTypeStateIssuer
00593250OtherFLHUMANA
0064049OtherFLGHI
00824900OtherFLMAGELLAN

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
I20080312000662 FL Practitioner - Clinical Psychologist 5395820419 Reassigns benefits to 1 organization
Practice locations: Spring Hill, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Saint Louis University School of Medicine, 1981
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY0003094FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychology Associates Inc CurrentSince Nov 25, 1998 Accepting new patients
Lynda Gurvitz PHD Inc Clinical Past Accepting new patients
Ronald L. Peal, PH.D. Past Accepting new patients

Locations

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

Organizations & group practices 3

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932253499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24244",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336234244",
            "telephone_number": "352-596-9616",
            "fax_number": "352-592-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5427 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061110",
            "telephone_number": "352-596-9616",
            "fax_number": "352-592-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAL",
        "first_name": "RONALD",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0003094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "00593250",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0064049",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "00824900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.