Organization Active NPI

Alexander T Gimon PHD PA

  • Clinical Psychologist
  • Largo, FL
National Provider Identifier
1508939208
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002959 Issued in FL
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.

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 002959 FL Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
768618800MedicaidFL
375767OtherFLHARMONY BEHAVIORAL HEALTH
233827OtherFLAMERIGROUP
281457OtherFLVALUEOPTIONS

Other names 1

NPPES NPI Registry
  • Alexander T Gimon PhD PA & Assoc Doing business as

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.

Verify at the official NPI Registry.