Holli Bodner, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0004288 Issued in FL

Practice address

51 Wallace Ave
Sarasota, FL 34237-6025

Phone

(941) 351-8333

Fax

(941) 358-7229

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Center for Clinical & Forensic Psychology Inc

  • Clinical Psychologist
  • Plantation, FL
  • NPI 1265459275
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1184640013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WALLACE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376025",
            "telephone_number": "941-351-8333",
            "fax_number": "941-358-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WALLACE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376025",
            "telephone_number": "941-351-8333",
            "fax_number": "941-358-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNER",
        "first_name": "HOLLI",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0004288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslieann Rhodes Bock, PTA
• Nicholas Donald Bockey, PHARMD, RPH
• Gary K Bockhold, OD
• Ellena Lois Boddie, M.D.
• Gabrielle Nicole Bodkin, LMHC
• Body Balance for Performance of Sarasota, Inc.
• Body Therapy and Wellness L.L.C.
• Boedecker Counseling Services Inc.
• Rhett Ethan Bogacz, DC
• Megan M Bogart, M.D.

• Clinical Psychologist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.