Active NPI
Dan Jovanovic, PSY.D
- Clinical Psychologist
- Bradenton, FL
National Provider Identifier
1043000698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY12741
- Practice address
- 17967 Palmiste Dr
Bradenton, FL 34202-3502 - Phone
- (310) 999-1669
- NPI assigned
- May 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY12741 | FL | Primary |
Addresses
Primary practice location
17967 Palmiste Dr
Bradenton, FL 34202-3502
Mailing address
17967 Palmiste Dr
Bradenton, FL 34202-3502
Phone (310) 999-1669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY12741 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1043000698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17967 PALMISTE DR",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342023502",
"telephone_number": "310-999-1669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17967 PALMISTE DR",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342023502",
"telephone_number": "310-999-1669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOVANOVIC",
"first_name": "DAN",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-07",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY12741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.