Individual provider Active NPI

Madison A Boblett-Hunt, PSY.D.

  • Clinical Psychologist
  • Sarasota, FL
National Provider Identifier
1235957242
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
12393 Issued in FL
Practice address
2415 University Pkwy Ste 219
Sarasota, FL 34243-2809
Phone
(727) 222-5703
Fax
(800) 687-1938
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 12393 FL Primary

Addresses

Primary practice location

2415 University Pkwy Ste 219
Sarasota, FL 34243-2809

Mailing address

224 Cantabria TRL
Bradenton, FL 34208-1584
Phone (614) 678-0130

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
I20250107000008 FL Practitioner - Clinical Psychologist 4880122720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Coastal Neuropsychology, LLCGroup PAC ID 6406135748, 7 clinicians

Practice addresses (Care Compare)

2415 University Pkwy
Suite 219
Sarasota, FL 34243-2809
Phone (800) 687-1938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12393FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Neuropsychology, LLC Clinical CurrentSince Oct 1, 2024 Accepting new patients

Locations

2415 University Pkwy
Ste 2
Sarasota, FL 34243
Phone (800) 687-1938

2415 University Pkwy
Ste 219
Sarasota, FL 34243
Phone (800) 687-1938

Organizations & group practices 1

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": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1235957242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 CANTABRIA TRL",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081584",
            "telephone_number": "614-678-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY PKWY STE 219",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432809",
            "telephone_number": "727-222-5703",
            "fax_number": "800-687-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBLETT-HUNT",
        "first_name": "MADISON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "12393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.