Individual provider Active NPI

Jonathan Michael Huffman, PHD

  • Psychologist
  • Tampa, FL
National Provider Identifier
1013637578
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
205 S Hoover Blvd Ste 202
Tampa, FL 33609-3574
Phone
(813) 563-1155
Fax
(813) 602-0216
NPI assigned
Sep 2, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X FL Primary

Addresses

Primary practice location

205 S Hoover Blvd Ste 202
Tampa, FL 33609-3574

Mailing address

1201 Gandy Blvd N Unit 21423
Saint Petersburg, FL 33742-8054
Phone (813) 527-9030

Other practice location 1

1201 Gandy Blvd N Unit 21423
St Petersburg, FL 33742-8054
Phone (813) 527-9030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220908002866 FL Practitioner - Clinical Psychologist 7719361872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Psychological Services, PLLCGroup PAC ID 4587969977, 15 clinicians

Practice addresses (Care Compare)

205 S Hoover Blvd
Suite 202
Tampa, FL 33609-3574
Phone (813) 563-1155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Mind Psychology Center Psychologist Current Accepting new patients

Locations

1201 Gandy Blvd N
Unit 21423
St Petersburg, FL 33742
Phone (813) 527-9030

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1013637578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GANDY BLVD N UNIT 21423",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337428054",
            "telephone_number": "813-527-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S HOOVER BLVD STE 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093574",
            "telephone_number": "813-563-1155",
            "fax_number": "813-602-0216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Gandy Blvd N Unit 21423",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337428054",
            "country_code": "US",
            "telephone_number": "813-527-9030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.