IndividualActive
Jack Peverill, PH.D.
NPI 1780875906 · Clinical Child & Adolescent Psychologist · Osprey, FL
Provider details
- NPI number
- 1780875906
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PY 3601 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2163 South Tamiami Trail
Osprey, FL 34229-9696
Phone: (941) 924-6113
Fax: (941) 924-6113
Approximate (ZIP-level) locationGet directions
Mailing address
4724 Acorn Circle
Sarasota, FL 34233-3935
Registry dates
- Enumerated
- 2007-08-05
- Last updated
- 2007-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.