Individual provider Active NPI

Patricia Hernandez Poudevida, PSY. D.

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1740420405
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10546 Issued in FL
Practice address
3206 Cove Bend Dr
Tampa, FL 33613-2752
Phone
(813) 400-0375
Fax
(813) 616-6818
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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 PY10546 FL Primary
Clinical Psychologist 103TC0700X 3239 PR

Addresses

Primary practice location

3206 Cove Bend Dr
Tampa, FL 33613-2752

Mailing address

2700 Healing Way Ste 300
Wesley Chapel, FL 33543-5453
Phone (813) 467-4756

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925000836 FL Practitioner - Psychiatry 0840644902 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ponce School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

19105 N US Hwy 41
Suite 300
Lutz, FL 33549-4206
Phone (813) 400-0375

2700 Healing Way
Wesley Chapel, FL 33543-5453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY10546FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vazcare PLLC Clinical CurrentSince Nov 1, 2024 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Jul 25, 2025 Accepting new patients
Mothermind Psychology Clinical CurrentSince Aug 1, 2023 Accepting new patients

Locations

19105 N US Highway 41
Ste 300
Lutz, FL 33549
Phone (813) 751-0247

3206 Cove Bend Dr
Tampa, FL 33613
Phone (813) 400-0375

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

13361 N 56th St
Temple Terrace, FL 33617
Phone (314) 680-3063

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

2700 Healing Way
Ste 300
Wesley Chapel, FL 33543
Phone (813) 467-4756

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26008/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1740420405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HEALING WAY STE 300",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435453",
            "telephone_number": "813-467-4756",
            "fax_number": "813-929-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 COVE BEND DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132752",
            "telephone_number": "813-400-0375",
            "fax_number": "813-616-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ POUDEVIDA",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10546",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.