Theresa A. Sparks, PH.D.
NPI 1538138367ActiveIndividual· Psychologist, Clinical· Fernandina Beach, FL
Psychologist, Clinical (PH.D.) in Fernandina Beach, Florida, licensed in FL and GA, with an NPI issued in March 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1538138367 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Mar 15, 2006 |
| Last updated in NPPES | Jun 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PY9173 | FL |
| Psychologist, Clinical | 103TC0700X | PSY002794 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (FL) |
|---|
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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