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THERESA A. SPARKS, PH.D., INC.
NPI 1679955181
Psychologist - Clinical in Fernandina Beach, FL

Active since June 20, 2015
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.

About Theresa A. Sparks, Ph.d., Inc. NPPES

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

THERESA A. SPARKS, PH.D., INC. (NPI 1679955181) is a healthcare organization registered as a clinical in Fernandina Beach, Florida and active in the NPI registry since June 2015. The organization lists Theresa A Sparks, President/owner, as its authorized official.

NPPES Registry Identity

NPI1679955181
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameTHERESA A. SPARKS, PH.D., INC.
Location Address910 S 8TH ST STE 134Fernandina Beach, FL 32034-6700
Mailing Address910 S 8th St Ste 134Fernandina Beach, FL 32034-6700 · (904) 891-4565 · Fax (904) 212-1216
Phone(904) 891-4565
Fax(904) 212-1216
Organization SubpartNo
Authorized OfficialTheresa A SparksPresident/owner · (904) 891-4565
Enumeration DateJune 20, 2015
Last NPPES UpdateJune 11, 2019
✔ NPI 1679955181 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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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. THERESA A SPARKS PH.D.
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 A. Sparks, Ph.D., Inc.'s NPI number?

The NPI number for Theresa A. Sparks, Ph.D., Inc. is 1679955181. It was assigned to this organization in the NPPES registry on June 20, 2015.

Where is Theresa A. Sparks, Ph.D., Inc. located?

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

What is Theresa A. Sparks, Ph.D., Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Theresa A. Sparks, Ph.D., Inc. 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.