Theresa A. Sparks, PH.D., Inc.
NPI 1679955181 · Clinical Psychologist · Fernandina Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa A. Sparks, PH.D., Inc. is a Clinical Psychologist organization in Fernandina Beach, FL (NPI 1679955181).
Provider details
- NPI number
- 1679955181
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Theresa Sparks, President/Owner(904) 891-4565
- License
- PSY002794 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
11 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
- 2015-06-20
- Last updated
- 2019-06-11
Frequently asked questions
- What is Theresa A. Sparks, PH.D., Inc.'s NPI number?
- Theresa A. Sparks, PH.D., Inc.'s National Provider Identifier (NPI) is 1679955181, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Theresa A. Sparks, PH.D., Inc.?
- Theresa A. Sparks, PH.D., Inc. is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Theresa A. Sparks, PH.D., Inc. located?
- Theresa A. Sparks, PH.D., Inc.'s practice location on file with NPPES is 910 S 8th St Ste 134, Fernandina Beach, FL 32034-6700.
- What is Theresa A. Sparks, PH.D., Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Theresa A. Sparks, PH.D., Inc. is (904) 891-4565.
- Does Theresa A. Sparks, PH.D., Inc. accept Medicare?
- Theresa A. Sparks, PH.D., Inc. 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 Theresa A. Sparks, PH.D., Inc.?
- The authorized official listed on Theresa A. Sparks, PH.D., Inc.'s NPPES record is Theresa Sparks, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Theresa A. Sparks, PH.D., Inc.'s NPI active?
- Yes — Theresa A. Sparks, PH.D., Inc.'s NPI (1679955181) is active in the NPPES registry as of the last update on 2019-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.