Individual provider Active NPI

Gerald Lee Todoroff, PSYD

  • Clinical Psychologist
  • Weeki Wachee, FL
National Provider Identifier
1033129804
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5565 Issued in FL
Practice address
9274 Penelope Drive
Weeki Wachee, FL 34613-4007
Phone
(352) 597-5497
Fax
(352) 597-1662
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X MD3030 FL
Clinical Psychologist 103TC0700X PY5565 FL Primary

Addresses

Primary practice location

9274 Penelope Drive
Weeki Wachee, FL 34613-4007

Mailing address

9274 Penelope Drive
Weeki Wachee, FL 34613-4007
Phone (352) 597-5497

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
I20111206000487 FL Practitioner - Clinical Psychologist 5294900098 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD3030FLMDPsychologist
PY5565FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Associates Psychologist CurrentSince Sep 14, 2011 Accepting new patients

Locations

5327 Commercial Way
Unit C115
Spring Hill, FL 34606
Phone (352) 346-3662

5465 Commercial Way
Spring Hill, FL 34606
Phone (352) 597-5497

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1033129804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9274 PENELOPE DRIVE",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346134007",
            "telephone_number": "352-597-5497",
            "fax_number": "352-597-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9274 PENELOPE DRIVE",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346134007",
            "telephone_number": "352-597-5497",
            "fax_number": "352-597-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODOROFF",
        "first_name": "GERALD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "MD3030",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weeki Wachee, FL

Sources for this page

Verify at the official NPI Registry.