DR. THERESA A SPARKS PH.D.
NPI 1538138367
Psychologist - Clinical in Fernandina Beach, FL

Q: What is Theresa Sparks's NPI number?

The NPI number for Theresa Sparks is 1538138367. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Q: What is Theresa Sparks's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Sparks was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment

910 S 8TH ST STE 134, FERNANDINA BEACH, FL 32034(904) 891-4565(904) 212-1216 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Theresa A Sparks Ph.d. NPPES

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

DR. THERESA A SPARKS PH.D. (NPI 1538138367) is an individual clinical provider in Fernandina Beach, Florida, licensed in Florida (PY9173) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1538138367

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. THERESA A SPARKSCredential: PH.D.

Location Address910 S 8TH ST STE 134Fernandina Beach, FL 32034-6700

Mailing Address2111 Egret LnFernandina Beach, FL 32034-4445 · (904) 891-4565

Phone(904) 891-4565

Fax(904) 212-1216

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMarch 15, 2006

Last NPPES UpdateJune 11, 2019

✔ NPI 1538138367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in FL · PY9173✔ Licensed in GA · PSY002794

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

910 S 8TH ST STE 134, Fernandina Beach, FL 32034

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Other Identifiers 1

Medicaid699989780AGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theresa A Sparks Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193035038

PECOS Enrollment IDI20151105001749

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA A. SPARKS, PH.D., INC.

Psychologist (Clinical)

910 S 8TH ST STE 134
FERNANDINA BEACH, FL 32034

Nassau County (904) 891-4565

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 Theresa Sparks's NPI number?

The NPI number for Theresa Sparks is 1538138367. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Theresa Sparks located?

Theresa Sparks practices at 910 S 8th St Ste 134, Fernandina Beach, FL 32034. The listed phone number is (904) 891-4565.

What is Theresa Sparks's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Theresa Sparks enrolled in Medicare?

Yes. Theresa Sparks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Theresa Sparks was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.