Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Theresa A Sparks, PHD

Individual provider Clinical Psychologist · NPI 1538138367

Dr. Theresa A Sparks, PHD is a Clinical Psychologist in Fernandina Beach, Florida. Qualified in 2003, 23 years ago. Accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
23
Licensed in
FL, GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

910 S 8th St Ste 134
Fernandina Beach, FL 32034-6700
Phone: (904) 891-4565
Fax: (904) 212-1216
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY9173 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY002794 (GA)

Record details

NPI number1538138367
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 15, 2006
Last updated in NPPESJune 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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