Individual provider Active NPI

John Jacob Hartman, PH.D.

  • Psychoanalysis Psychologist
  • Tampa, FL
National Provider Identifier
1194168880
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
License
PY5634 Issued in FL
Practice address
300 S Hyde Park Ave
Suite 150
Tampa, FL 33606-2286
Phone
(813) 258-4607
Fax
(813) 258-4647
NPI assigned
Apr 11, 2013
Last updated
Apr 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis Psychologist 103TP0814X PY5634 FL Primary

Addresses

Primary practice location

300 S Hyde Park Ave
Suite 150
Tampa, FL 33606-2286

Mailing address

300 S Hyde Park Ave
Suite 150
Tampa, FL 33606-2286
Phone (813) 258-4607

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
PY5634FLMDPsychoanalysis Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1194168880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S HYDE PARK AVE",
            "address_2": "SUITE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062286",
            "telephone_number": "813-258-4607",
            "fax_number": "813-258-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S HYDE PARK AVE",
            "address_2": "SUITE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062286",
            "telephone_number": "813-258-4607",
            "fax_number": "813-258-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "JOHN",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "FL",
            "license": "PY5634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.