David Lawerence Modders, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6041 Issued in FL

Practice address

8877 SE 165TH Mulberry LN
The Villages, FL 32162-5887

Phone

(352) 674-1750

NPI assigned

Apr 26, 2007

Last updated

Aug 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Specialty

Clinical Psychologist

Education

Wayne State University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Villages Health System LLCGroup PAC ID 2163667288, 146 clinicians

Centerwell Senior Primary Care Vitality IncGroup PAC ID 4486152899, 144 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.62 of 100Reported as group

Quality

91.57

Promoting interoperability

100

Improvement activities

40

Cost

85.85

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.modders.1@18324.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/18324/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centerwell Senior Primary Care Vitality Inc

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1730076621
  Medicare reassignment Care Compare group NPD
• The Villages Health System LLC

  dba The Villages Health

  • General Practice Physician
  • The Villages, FL
  • NPI 1699012922
  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care Vitality Inc

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1457223406
  NPD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1346460862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 SE 110TH ST",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203115",
            "telephone_number": "352-245-9157",
            "fax_number": "352-245-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8877 SE 165TH MULBERRY LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625887",
            "telephone_number": "352-674-1750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Old Camp Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321621762",
            "country_code": "US",
            "telephone_number": "352-674-1760",
            "fax_number": "352-674-8960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODDERS",
        "first_name": "DAVID",
        "middle_name": "LAWERENCE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick James Miranda, OD
• Loren Mirsky Piatkin
• Vinod R Miryala, MD
• Raymond J Mis
• Mmelbarry (Foot Solutions)
• Sarah Mohamed, MD
• Mohammed F Rahman LLC
• Arethea Tamara Moise, ARNP
• Elexa Molinary Miller, APRN
• Riley Moll, APRN FNP-C

• Clinical Psychologist in The Villages, FL
• Providers in The Villages, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.