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

William Harry Pettibon, PHD

Individual provider Psychologist · NPI 1629267877

William Harry Pettibon, PHD is a Clinical Psychologist in Sarasota, Florida. Qualified in 1996, 30 years ago. Practices with William H Pettibon PHD PA, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
30
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3800 S Tamiami Trl Unit 210
Sarasota, FL 34239-6909
Phone: (941) 366-1693
Fax: (941) 922-7574
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY6096 (FL)

Record details

NPI number1629267877
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 23, 2007
Last updated in NPPESOctober 23, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice William H Pettibon Phd Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sarasota