Individual provider Active NPI

Nicole Lynn Hausman, PH.D

  • Behavior Analyst
  • Safety Harbor, FL
National Provider Identifier
1154703502
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
4770 Issued in TX
Practice address
737 Main St Ste 100
Safety Harbor, FL 34695-3502
Phone
(617) 910-1414
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 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
Behavior Analyst 103K00000X 4770 TX Primary

Addresses

Primary practice location

737 Main St Ste 100
Safety Harbor, FL 34695-3502

Mailing address

3672 Fairway Forest Cir
Palm Harbor, FL 34685-1001
Phone (727) 798-1254

Other practice location 1

355 S Main St
Greenville, SC 29601-2923
Phone (270) 576-3736

Other practice location 2

203 YMCA Way
Glasgow, KY 42141-1195
Phone (270) 576-3736

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4770TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Behavior Analysis LLC Behavior Analyst CurrentSince Nov 3, 2024 Accepting new patients
Journey ABA Florida LLC Behavior Analyst CurrentSince Nov 3, 2024 Accepting new patients

Locations

737 Main St
Ste 100
Safety Harbor, FL 34695
Phone (617) 910-1414

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1154703502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3672 FAIRWAY FOREST CIR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851001",
            "telephone_number": "727-798-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 MAIN ST STE 100",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953502",
            "telephone_number": "617-910-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 S Main St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296012923",
            "country_code": "US",
            "telephone_number": "270-576-3736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 YMCA Way",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421411195",
            "country_code": "US",
            "telephone_number": "270-576-3736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUSMAN",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.