Sylwia P Hodorek, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY9569 Issued in FL

Practice address

1311 N Paul Russell Rd Ste B102
Tallahassee, FL 32301-4880

Phone

(850) 759-7332

NPI assigned

Nov 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Psychological Wellness Group, LLC

  • Psychologist
  • Tallahassee, FL
  • NPI 1548986052
  NPD Authorized official

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662854400000",
    "number": "1295490522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N PAUL RUSSELL RD STE B102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014880",
            "telephone_number": "850-759-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N PAUL RUSSELL RD STE B102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014880",
            "telephone_number": "850-759-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODOREK",
        "first_name": "SYLWIA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2022-09-11",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaylen Cornell Hobson
• Al'Lexia Hodge
• Jill Leighann Hodges
• Layla F Hodges
• Rebecca Ann Hodges, PA-C
• Ernest Nathaniel Hoffman, M.D.
• Nicholas Michael Sorchych Hoffman, DC
• Ronald J Hoffman, DC
• Paige Hofheinz
• Patricia Hogan, M.D.

• Psychologist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2022; 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.