WILLIAM E. RIEBSAME PH.D. NPI 1215937826

NPI Information

  • NPI: 1215937826
  • Provider Name: WILLIAM E. RIEBSAME, PH.D.
  • Classification: Psychologist - 103TH0100X
  • Specialization: Health Service
  • Entity Type: Individual
  • Address: 1555 PORT MALABAR BLVD NE
    SUITE 104
    PALM BAY, FL
    ZIP 32905
  • Phone: (321) 729-0870

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NPI Details

William E. Riebsame, PH.D. is a health service psychologist in Palm Bay, FL. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). William E. Riebsame, PH.D. NPI is 1215937826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1555 PORT MALABAR BLVD NE
SUITE 104
PALM BAY, FL
ZIP 32905-407
Phone: (321) 729-0870
Fax: (321) 952-2516

The enumeration date for this NPI number is 7/26/2005 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TF0200XPsychologistForensicPY0004169FLORIDANo
2103G00000XClinical NeuropsychologistPY0004169FLORIDANo
3103T00000XPsychologistPY0004169FLORIDANo
4103TH0100XPsychologistHealth ServicePY0004169FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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