OrganizationActive
Theresa A. Sparks, PH.D., Inc.
NPI 1679955181 · Clinical Psychologist · Fernandina Beach, FL
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
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
910 S 8th St Ste 134
Fernandina Beach, FL 32034-6700
Phone: (904) 891-4565
Fax: (904) 212-1216
Street-level locationGet directions
Mailing address
910 S 8th St Ste 134
Fernandina Beach, FL 32034-6700
Registry dates
- Enumerated
- 2015-06-20
- Last updated
- 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.