Active NPI
Dr. Livengood Psychology, PSYD, PLLC
- Clinical Psychologist
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- DR. LIVENGOOD PSYCHOLOGY, PSYD, PLLC
- Practice address
- 1315 W 17TH St Unit 15034
Panama City, FL 32406-7702 - Phone
- (850) 276-6401
- Fax
- (850) 792-6916
- NPI assigned
- Aug 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tara Livengood, PSYD
- Title
- Psychologist/Owner
- Phone
- (850) 276-6401
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
1315 W 17TH St Unit 15034
Panama City, FL 32406-7702
Mailing address
1315 W 17TH St Unit 15034
Panama City, FL 32406-7702
Phone (850) 276-6401
Other practice location 1
1005 Marlandwood Rd Ste 114
Temple, TX 76502-3331
Phone (254) 228-0404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1315 W 17th St
Unit 15034
Panama City, FL 32406
Phone (850) 276-6401
1005 Marlandwood Rd
Ste 114
Temple, TX 76502
Phone (254) 228-0404
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739318400000",
"number": "1396464756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 W 17TH ST UNIT 15034",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324067702",
"telephone_number": "850-276-6401",
"fax_number": "850-792-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 W 17TH ST UNIT 15034",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324067702",
"telephone_number": "850-276-6401",
"fax_number": "850-792-6916"
}
],
"practiceLocations": [
{
"address_1": "1005 Marlandwood Rd Ste 114",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765023331",
"country_code": "US",
"telephone_number": "254-228-0404",
"fax_number": "254-228-0505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DR. LIVENGOOD PSYCHOLOGY, PSYD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-26",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A",
"authorized_official_last_name": "LIVENGOOD",
"authorized_official_first_name": "TARA",
"authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "850-276-6401",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.