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MICHAEL D. EASTRIDGE PH.D.
NPI 1720129539
Clinical Neuropsychologist in Saint Petersburg, FL

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
275 96TH AVE N, SUITE 3, SAINT PETERSBURG, FL 33702(727) 579-0080(727) 578-2542 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael D. Eastridge Ph.d. NPPES

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

MICHAEL D. EASTRIDGE PH.D. (NPI 1720129539) is an individual clinical neuropsychologist in Saint Petersburg, Florida, licensed in Florida (PY0003431) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1720129539
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameMICHAEL D. EASTRIDGECredential: PH.D.
Location Address275 96TH AVE N, SUITE 3Saint Petersburg, FL 33702-2504
Mailing Address275 96th Ave N, Suite 3Saint Petersburg, FL 33702-2504 · (727) 579-0080 · Fax (727) 578-2542
Phone(727) 579-0080
Fax(727) 578-2542
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720129539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in FL · PY0003431
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
275 96TH AVE N, Saint Petersburg, FL 33702
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified75664FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.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

Michael D. Eastridge 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 ID2466699970
PECOS Enrollment IDI20130430000396
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

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.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
213 services16 patients

Other Providers at the Same Location NPPES

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

MRS. CARRIE SIMMONS LMHC
Counselor (Mental Health)
275 96TH AVE N, SUITE 3
ST PETERSBURG, FL 33702
Pinellas County (727) 579-0080

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 Michael Eastridge's NPI number?

The NPI number for Michael Eastridge is 1720129539. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Michael Eastridge located?

Michael Eastridge practices at 275 96th Ave N Suite 3, Saint Petersburg, FL 33702. The listed phone number is (727) 579-0080.

What is Michael Eastridge's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Michael Eastridge enrolled in Medicare?

Yes. Michael Eastridge 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 Michael Eastridge accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Michael Eastridge 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 Michael Eastridge was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.