Individual provider Active NPI

Jolee Hibbard, PSYD

  • Adult Development & Aging Psychologist
  • Panama City Beach, FL
National Provider Identifier
1891148953
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Development & Aging PsychologistTaxonomy code 103TA0700X
License
PY13097 Issued in FL
Practice address
4626 Delwood View Blvd
Panama City Beach, FL 32408-7107
Phone
(949) 373-3640
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X PY13097 FL Primary
Adult Development & Aging Psychologist 103TA0700X 40117 TX
Clinical Psychologist 103TC0700X 32479 CA

Addresses

Primary practice location

4626 Delwood View Blvd
Panama City Beach, FL 32408-7107

Mailing address

4626 Delwood View Blvd
Panama City Beach, FL 32408-7107
Phone (949) 374-0247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 26, 2024 through Aug 26, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32479CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hibbard Psychological Services, PC Clinical CurrentSince Apr 9, 2024 Accepting new patients

Locations

2082 Michelson Dr
Ste 227
Irvine, CA 92612
Phone (949) 373-3640

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": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1891148953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 DELWOOD VIEW BLVD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324087107",
            "telephone_number": "949-374-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 DELWOOD VIEW BLVD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324087107",
            "telephone_number": "949-373-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBARD",
        "first_name": "JOLEE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "FL",
            "license": "PY13097",
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "TX",
            "license": "40117",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.