WILLIAM H PETTIBON PHD PA
NPI 1336314707
Psychologist in Sarasota, FL
About William H Pettibon Phd Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM H PETTIBON PHD PA (NPI 1336314707) is a healthcare organization registered as a psychologist in Sarasota, Florida and active in the NPI registry since April 2008. The organization lists William Harry Pettibon, Clinical Psychologist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
William H Pettibon Phd Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to William H Pettibon Phd PA, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 PA's NPI number?
The NPI number for William H Pettibon Phd PA is 1336314707. It was assigned to this organization in the NPPES registry on April 28, 2008.
Where is William H Pettibon Phd PA located?
William H Pettibon Phd PA is located at 3800 S Tamiami Trl Unit 210, Sarasota, FL 34239. The listed phone number is (941) 366-1693.
What is William H Pettibon Phd PA's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is William H Pettibon Phd PA enrolled in Medicare?
Yes. William H Pettibon Phd PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through William H Pettibon Phd PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to William H Pettibon Phd PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (3) and Clinical Social Worker (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does William H Pettibon Phd PA accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list William H Pettibon Phd PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for William H Pettibon Phd PA was last updated on April 28, 2008. 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.