Individual provider Active NPI

Gary Lynn Howell, PSY.D.

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1699081943
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8480 Issued in FL
Practice address
2109 E Palm Ave Ste 201
Tampa, FL 33605
Phone
(813) 609-3699
NPI assigned
Aug 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY8480 FL Primary
Clinical Psychologist 103TC0700X 071007964 IL

Addresses

Primary practice location

2109 E Palm Ave Ste 201
Tampa, FL 33605

Mailing address

2109 E Palm Ave Ste 201
Tampa, FL 33605-3909
Phone (813) 419-7793

Other identifiers 1

IdentifierTypeStateIssuer
018464000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EHRSimplePractice

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120412000689 FL Practitioner - Clinical Psychologist 3577758796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1506 N 15TH St
Tampa, FL 33605-5044
Phone (813) 419-7793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Howell, Psy.D., PC Clinical CurrentSince Feb 1, 2011 Accepting new patients

Locations

1506 N 15th St
Tampa, FL 33605
Phone (813) 360-0741

2109 E Palm Ave
Ste 201
Tampa, FL 33605
Phone (813) 609-3699

6201 Cermak Rd
Ste 2
Berwyn, IL 60402
Phone (708) 788-8808

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699081943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 E PALM AVE STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336053909",
            "telephone_number": "813-419-7793",
            "fax_number": "866-627-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 E PALM AVE STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33605",
            "telephone_number": "813-609-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "GARY",
        "middle_name": "LYNN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-25",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8480",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018464000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHRSimplePractice",
            "affiliation": "N",
            "address_1": "2109 E Palm Ave Ste 201",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.