Active NPI
Alexander T Gimon PHD PA
- Clinical Psychologist
- Largo, FL
National Provider Identifier
1508939208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 002959
- Legal business name
- ALEXANDER T GIMON PHD PA
- Practice address
- 10225 Ulmerton Rd
Ste #12B
Largo, FL 33771-3538 - Phone
- (727) 584-1551
- Fax
- (727) 581-5107
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Alexander T Gimon, PHD
- Title
- Psychologist
- Phone
- (727) 584-1551
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Largo, FL
- NPI 1205110731
National Provider Directory
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 002959 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
10225 Ulmerton Rd
Ste #12B
Largo, FL 33771-3538
Mailing address
10225 Ulmerton Rd
Ste #12B
Largo, FL 33771-3538
Phone (727) 584-1551
Other identifiers 4
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 768618800 | Medicaid | FL | |
| 375767 | Other | FL | HARMONY BEHAVIORAL HEALTH |
| 233827 | Other | FL | AMERIGROUP |
| 281457 | Other | FL | VALUEOPTIONS |
Other names 1
NPPES NPI Registry- Alexander T Gimon PhD PA & Assoc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2009.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260144000000",
"number": "1508939208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10225 ULMERTON RD",
"address_2": "STE #12B",
"city": "LARGO",
"state": "FL",
"postal_code": "337713538",
"telephone_number": "727-584-1551",
"fax_number": "727-581-5107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10225 ULMERTON RD",
"address_2": "STE #12B",
"city": "LARGO",
"state": "FL",
"postal_code": "337713538",
"telephone_number": "727-584-1551",
"fax_number": "727-581-5107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXANDER T GIMON PHD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2009-12-07",
"status": "A",
"authorized_official_last_name": "GIMON",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "727-584-1551",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "002959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "768618800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARMONY BEHAVIORAL HEALTH",
"identifier": "375767",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "233827",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "281457",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Alexander T Gimon PhD PA & Assoc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.