WILLIAM HARRY PETTIBON PHD
NPI 1629267877
Psychologist in Sarasota, FL

Active since October 23, 2007PECOS EnrolledAccepts Medicare Assignment
3800 S TAMIAMI TRL UNIT 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 02, 2026.

About William Harry Pettibon Phd NPPES

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

WILLIAM HARRY PETTIBON PHD (NPI 1629267877) is an individual psychologist in Sarasota, Florida, licensed in Florida (PY6096) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1629267877
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameWILLIAM HARRY PETTIBONCredential: PHD
Location Address3800 S TAMIAMI TRL UNIT 210Sarasota, FL 34239-6909
Mailing Address6521 Keystone DrSarasota, FL 34231-7133 · (941) 366-1693 · Fax (941) 922-7574
Fax(941) 922-7574
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 23, 2007
NPI 1629267877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY6096
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3800 S TAMIAMI TRL UNIT 210, Sarasota, FL 34239

Other Identifiers 1

Medicare PIN54520FL

Accepted Insurance

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

William Harry Pettibon Phd 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 ID7416005939
PECOS Enrollment IDI20100420000926
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
135 services27 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
112 services28 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
28 services28 patients
Exam of neurobehavioral status, each additional hour 96121
This procedure involves a thorough evaluation of your neurobehavioral status, focusing on brain functions that affect behavior and cognition. It's extended for an additional hour to gather more detailed information about your neurological health.
28 services28 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
28 services28 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
28 services28 patients

Other Providers at the Same Location NPPES 3

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

Psychologist
3800 S TAMIAMI TRL UNIT 210
SARASOTA, FL 34239
Social Worker (Clinical)
3800 S TAMIAMI TRL UNIT 210
SARASOTA, FL 34239
Clinical Neuropsychologist
3800 S TAMIAMI TRL UNIT 210
SARASOTA, FL 34239

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 Pettibon's NPI number?

The NPI number for William Pettibon is 1629267877. It was assigned to this individual provider in the NPPES registry on October 23, 2007.

Where is William Pettibon located?

William Pettibon practices at 3800 S Tamiami Trl Unit 210, Sarasota, FL 34239. The listed phone number is (941) 366-1693.

What is William Pettibon's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is William Pettibon enrolled in Medicare?

Yes. William Pettibon 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.

What insurance does William Pettibon accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list William Pettibon 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 Pettibon 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.