Provider Demographics
NPI:1508939570
Name:SAVILL, GARY E (PHD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:E
Last Name:SAVILL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 MOVA ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-7718
Mailing Address - Country:US
Mailing Address - Phone:941-586-6880
Mailing Address - Fax:941-894-1105
Practice Address - Street 1:1828 MOVA ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-7718
Practice Address - Country:US
Practice Address - Phone:941-586-6880
Practice Address - Fax:941-894-1105
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7528103TC0700X, 103G00000X, 103TB0200X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT060001235CT03OtherANTHEM
FLPY 7528OtherFLORIDA LICENSE NUMBER
CT134120OtherVALUEOPTIONS
CT3570952OtherCIGNA
CTP2749833OtherOXFORD
CT741913OtherUNITED BEHAVIORAL HEALTH