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

Michael D. Eastridge, PHD

Individual provider Clinical Neuropsychologist · NPI 1720129539

Michael D. Eastridge, PHD is a Clinical Psychologist in Saint Petersburg, Florida. Qualified in 1983, 43 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
43
Licensed in
FL
In the registry since
2007
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

275 96th Ave N Ste 3
Saint Petersburg, FL 33702-2504
Phone: (727) 579-0080
Fax: (727) 578-2542
Show map & directions

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

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PY0003431 (FL)

Record details

NPI number1720129539
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 12, 2007
Last updated in NPPESJuly 8, 2007
Mailing address275 96th Ave N, Suite 3, Saint Petersburg, FL 33702-2504

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount