Individual provider Active NPI

Todd R Poch, PSYD, MALD

  • Clinical Psychologist
  • Satellite Beach, FL
National Provider Identifier
1750503223
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5546 Issued in FL
Practice address
505 Turtle Cir
Satellite Beach, FL 32937-3806
Phone
(321) 777-3359
Fax
(321) 779-8793
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2181 GA
Clinical Psychologist 103TC0700X LP4368 MN
Clinical Psychologist 103TC0700X 5546 FL Primary
Forensic Psychologist 103TF0200X 5546 FL
Forensic Psychologist 103TF0200X 703 NM
Forensic Psychologist 103TF0200X 2094 CO

Addresses

Primary practice location

505 Turtle Cir
Satellite Beach, FL 32937-3806

Mailing address

505 Turtle Cir
Satellite Beach, FL 32937-3806
Phone (321) 777-3359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5546FLMDClinical Psychologist
2181GAMDClinical Psychologist
LP4368MNMDClinical Psychologist
2094COMDForensic Psychologist
703NMMDForensic Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1750503223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 TURTLE CIR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373806",
            "telephone_number": "321-777-3359",
            "fax_number": "321-779-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 TURTLE CIR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373806",
            "telephone_number": "321-777-3359",
            "fax_number": "321-779-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCH",
        "first_name": "TODD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSYD, MALD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "2181",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4368",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "5546",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "5546",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NM",
            "license": "703",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CO",
            "license": "2094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Satellite Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.