William H Pettibon PHD PA
NPI 1336314707 · Psychologist · Sarasota, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
William H Pettibon PHD PA is a Psychologist organization in Sarasota, FL (NPI 1336314707).
Provider details
- NPI number
- 1336314707
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- William Pettibon, Clinical Psychologist/Owner(941) 366-1693
- License
- PY6096 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2008-04-28
- Last updated
- 2008-04-28
Frequently asked questions
- What is William H Pettibon PHD PA's NPI number?
- William H Pettibon PHD PA's National Provider Identifier (NPI) is 1336314707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is William H Pettibon PHD PA?
- William H Pettibon PHD PA is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is William H Pettibon PHD PA located?
- William H Pettibon PHD PA's practice location on file with NPPES is 3800 S Tamiami Trl Unit 210, Sarasota, FL 34239-6909.
- What is William H Pettibon PHD PA's phone number?
- The practice phone number listed in the NPPES registry for William H Pettibon PHD PA is (941) 366-1693.
- Does William H Pettibon PHD PA accept Medicare?
- William H Pettibon PHD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for William H Pettibon PHD PA?
- The authorized official listed on William H Pettibon PHD PA's NPPES record is William Pettibon, Clinical Psychologist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is William H Pettibon PHD PA's NPI active?
- Yes — William H Pettibon PHD PA's NPI (1336314707) is active in the NPPES registry as of the last update on 2008-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.