Gerald Hodan, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY2871 Issued in FL

Practice address

3745 5TH Ave N
St Petersburg, FL 33713-7519

Phone

(727) 399-0806

Fax

(866) 469-3880

NPI assigned

Jan 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hodan Psychological Services

  • Clinical Psychologist
  • St Petersburg, FL
  • NPI 1689711830
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578609632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 37TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041620",
            "telephone_number": "727-399-0806",
            "fax_number": "866-469-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137519",
            "telephone_number": "727-399-0806",
            "fax_number": "866-469-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODAN",
        "first_name": "GERALD",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY2871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF FL",
            "identifier": "59499",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hobbs Chiropractic Inc.
• David J Hobbs, M.D. P.A.
• John Daniel Hoch
• Isabella Maria Hochburger
• Hodan Psychological Services
• Eileen Hodges
• Houston Ray Hodges II, MD
• Josef Hodgkins, R.N.
• Raisa Hodzic
• Amanda Joy Hoelscher, APRN

• Clinical Psychologist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.