John P Mihalovich PHD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JOHN P MIHALOVICH PHD PA

Practice address

2850 SE Calvin St
Port St Lucie, FL 34952-5808

Phone

(772) 370-9836

Fax

(772) 871-7822

NPI assigned

Feb 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John P Mihalovich, PHD

Title

Owner

Phone

(772) 370-9836

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1376782441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 SE CALVIN ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525808",
            "telephone_number": "772-370-9836",
            "fax_number": "772-871-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 SE CALVIN ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525808",
            "telephone_number": "772-370-9836",
            "fax_number": "772-871-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P MIHALOVICH PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "MIHALOVICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-370-9836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.