Organization Active NPI

Timothy a. Redman, PH.D., LLC

  • Psychologist
  • Sarasota, FL
National Provider Identifier
1073803870
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0003846 Issued in FL
Legal business name
TIMOTHY A. REDMAN, PH.D., LLC
Practice address
3344 Bahia Vista St
Sarasota, FL 34239-7386
Phone
(941) 951-0343
Fax
(866) 601-3427
NPI assigned
Apr 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Dr. Timothy A. Redman, PH.D.
Title
Owner
Phone
(941) 951-0343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY0003846 FL Primary

Addresses

Primary practice location

3344 Bahia Vista St
Sarasota, FL 34239-7386

Mailing address

3344 Bahia Vista St
Sarasota, FL 34239-7386
Phone (941) 951-0343

Other identifiers 1

IdentifierTypeStateIssuer
75980OtherFLBC/BS

National Provider Directory

National Provider Directory

Locations

3344 Bahia Vista St
Sarasota, FL 34239
Phone (941) 650-5963

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1073803870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 BAHIA VISTA ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397386",
            "telephone_number": "941-951-0343",
            "fax_number": "866-601-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 BAHIA VISTA ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397386",
            "telephone_number": "941-951-0343",
            "fax_number": "866-601-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY A. REDMAN, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-951-0343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0003846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "75980",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.