OrganizationActive
William H Pettibon PHD
NPI 1104839042 · Specialist · Sarasota, FL
William H Pettibon PHD is a Specialist organization in Sarasota, FL (NPI 1104839042).
Provider details
- NPI number
- 1104839042
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- William Pettibon, Psychologist(941) 922-7574
- License
- PY6096 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
3800 S Tamiami Tr
Suite 210
Sarasota, FL 34239-6909
Phone: (941) 366-1693
Fax: (941) 922-7574
Street-level locationGet directions
Mailing address
6521 Keystone Dr
Sarasota, FL 34231-7133
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2007-10-23
Frequently asked questions
- What is William H Pettibon PHD's NPI number?
- William H Pettibon PHD's National Provider Identifier (NPI) is 1104839042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is William H Pettibon PHD?
- William H Pettibon PHD is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is William H Pettibon PHD located?
- William H Pettibon PHD's practice location on file with NPPES is 3800 S Tamiami Tr, Sarasota, FL 34239-6909.
- What is William H Pettibon PHD's phone number?
- The practice phone number listed in the NPPES registry for William H Pettibon PHD is (941) 366-1693.
- Who is the authorized official for William H Pettibon PHD?
- The authorized official listed on William H Pettibon PHD's NPPES record is William Pettibon, Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is William H Pettibon PHD's NPI active?
- Yes — William H Pettibon PHD's NPI (1104839042) is active in the NPPES registry as of the last update on 2007-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.