Individual provider Active NPI

Maggie Garcia Neidhardt, EDD, NCSP

  • School Psychologist
  • Brandon, FL
National Provider Identifier
1316639974
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1602 Issued in FL
Practice address
1119 Nikki View Dr
Brandon, FL 33511-4879
Phone
(813) 722-1021
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHI24620 FL
School Psychologist 103TS0200X SS1602 FL Primary

Addresses

Primary practice location

1119 Nikki View Dr
Brandon, FL 33511-4879

Mailing address

4507 Deer Park PL
Brandon, FL 33511-8076
Phone (229) 834-9334

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

State licenses

LicenseStateTypeSpecialty
MHI24620FLMDMental Health Counselor
SS1602FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maglione, Neidhardt & Associates Mental Health Current Accepting new patients

Locations

1119 Nikki View Dr
Brandon, FL 33511
Phone (813) 657-7022

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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1316639974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 DEER PARK PL",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118076",
            "telephone_number": "229-834-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 NIKKI VIEW DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114879",
            "telephone_number": "813-722-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDHARDT",
        "first_name": "MAGGIE",
        "middle_name": "GARCIA",
        "name_prefix": "Dr.",
        "credential": "EDD, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MHI24620",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.