Holli L Bodner Psy D P a

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0004288 Issued in FL

Legal business name

HOLLI L BODNER PSY D P A

Practice address

51 Wallace Ave
Sarasota, FL 34237-6025

Phone

(941) 351-8333

Fax

(941) 359-3148

NPI assigned

Jun 30, 2008

Last updated

Jun 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Holli L Bodner, PSY DNPI 1184640013

Title

Owner

Phone

(941) 351-8333

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Holli Bodner, PSY D

  • Clinical Psychologist
  • Sarasota, FL
  • NPI 1184640013
  Authorized official Same address or phone

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1548422652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WALLACE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376025",
            "telephone_number": "941-351-8333",
            "fax_number": "941-359-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WALLACE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376025",
            "telephone_number": "941-351-8333",
            "fax_number": "941-359-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLI L BODNER PSY D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "BODNER",
        "authorized_official_first_name": "HOLLI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-351-8333",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0004288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reuben W Holland, MD
• Tracey Holland, M.S.
• Charles R Hollen, MD
• Jordana Werner Hollen, M.D.
• Tyler Rowland Hollen, M.D.
• Cheryl Ross Hollifield, CNM
• Kathryn Taylor Hollingsworth, ARNP
• Holly Gould Tucci
• Kari Holly, ARNP
• Mallory Holm, PA-C

• Clinical Psychologist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.