Individual provider Active NPI

Hector Patino, PSY.D.

  • Psychologist
  • Safety Harbor, FL
National Provider Identifier
1184349201
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
11664 Issued in FL
Practice address
801 2ND St N Ste 7
Safety Harbor, FL 34695-3503
Phone
(727) 725-8820
NPI assigned
Oct 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 11664 FL Primary

Addresses

Primary practice location

801 2ND St N Ste 7
Safety Harbor, FL 34695-3503

Mailing address

801 2ND St N Ste 7
Safety Harbor, FL 34695-3503
Phone (727) 725-8820

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
I20230214003305 FL Practitioner - Clinical Psychologist 7315319688 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11664FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychology Associates Inc CurrentSince Jan 30, 2023 Accepting new patients
Patino Health L.L.C. Current Accepting new patients
Lynda Gurvitz PHD Inc PastSince Oct 16, 2022 Accepting new patients

Locations

801 2nd St N
Ste 7
Safety Harbor, FL 34695
Phone (727) 725-8820

Organizations & group practices 3

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": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1184349201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 2ND ST N STE 7",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953503",
            "telephone_number": "727-725-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 2ND ST N STE 7",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953503",
            "telephone_number": "727-725-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINO",
        "first_name": "HECTOR",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-11",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "11664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.