Organization Active NPI

Kurt Hoover PHD PA

  • Psychologist
  • Tampa, FL
National Provider Identifier
1639335052
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY4918 Issued in FL
Legal business name
KURT HOOVER PHD PA
Practice address
5221 Ehrlich Rd Ste a
Tampa, FL 33624-2006
Phone
(813) 926-3170
Fax
(813) 908-2729
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Dr. Kurt Lee Hoover, PH.D.NPI 1346330743
Title
President
Phone
(813) 926-3170

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY4918 FL Primary

Addresses

Primary practice location

5221 Ehrlich Rd Ste a
Tampa, FL 33624-2006

Mailing address

5221 Ehrlich Rd Ste a
Tampa, FL 33624-2006
Phone (813) 926-3170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091204000602 FL Part B Supplier - Clinic/Group Practice 4981743812 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

5221 Ehrlich Rd
Ste A
Tampa, FL 33624
Phone (813) 265-4811

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": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1639335052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 EHRLICH RD STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242006",
            "telephone_number": "813-926-3170",
            "fax_number": "813-908-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 EHRLICH RD STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242006",
            "telephone_number": "813-926-3170",
            "fax_number": "813-908-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT HOOVER PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-926-3170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.

Verify at the official NPI Registry.