IndividualActive
Dereck Phrathep, PH.D.
NPI 1003627498 · Psychologist · St Petersburg, FL
Provider details
- NPI number
- 1003627498
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
501 6th Ave S
St Petersburg, FL 33701-4634
Phone: (727) 767-4170
Street-level locationGet directions
Mailing address
2725 59th Way N
St Petersburg, FL 33710-3339
Registry dates
- Enumerated
- 2025-01-15
- Last updated
- 2025-03-05
- Certified
- 2025-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.