WILLIAM H PETTIBON PHD
NPI 1104839042
Specialist in Sarasota, FL

Q: What is William H Pettibon Phd's NPI number?

The NPI number for William H Pettibon Phd is 1104839042. It was assigned to this organization in the NPPES registry on August 14, 2006.

Q: What is William H Pettibon Phd's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 14, 2006

3800 S TAMIAMI TR, SUITE 210, SARASOTA, FL 34239(941) 366-1693(941) 922-7574 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About William H Pettibon Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM H PETTIBON PHD (NPI 1104839042) is a healthcare organization registered as a specialist in Sarasota, Florida and active in the NPI registry since August 2006. The organization lists William Harry Pettibon, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1104839042

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameWILLIAM H PETTIBON PHD

Location Address3800 S TAMIAMI TR, SUITE 210Sarasota, FL 34239-6909

Mailing Address6521 Keystone DrSarasota, FL 34231-7133 · (941) 922-7574 · Fax (941) 922-7574

Phone(941) 366-1693

Fax(941) 922-7574

Organization SubpartNo

Authorized OfficialWilliam Harry PettibonPsychologist · (941) 922-7574

Enumeration DateAugust 14, 2006

Last NPPES UpdateOctober 23, 2007

✔ NPI 1104839042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · PY6096

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3800 S TAMIAMI TR, Sarasota, FL 34239

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Other Identifiers 1

Medicare PIN54520FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William H Pettibon Phd's NPI number?

The NPI number for William H Pettibon Phd is 1104839042. It was assigned to this organization in the NPPES registry on August 14, 2006.

Where is William H Pettibon Phd located?

William H Pettibon Phd is located at 3800 S Tamiami Tr Suite 210, Sarasota, FL 34239. The listed phone number is (941) 366-1693.

What is William H Pettibon Phd's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for William H Pettibon Phd was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.