Organization Active NPI

Gulf Coast Psychology & Health Inc

  • Psychologist
  • Bradenton, FL
National Provider Identifier
1912063470
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GULF COAST PSYCHOLOGY & HEALTH INC
Practice address
9215 12TH Ave NW
Bradenton, FL 34209-8303
Phone
(941) 920-7445
NPI assigned
Dec 29, 2006
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Dr. Roxanne Dinkin, PHD
Title
President
Phone
(941) 727-8799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

9215 12TH Ave NW
Bradenton, FL 34209-8303

Mailing address

9215 12TH Ave NW
Bradenton, FL 34209-8303
Phone (941) 920-7445

Other practice location 1

3653 Cortez Rd W
Suite 100
Bradenton, FL 34210-3168
Phone (941) 727-8799

National Provider Directory

National Provider Directory

Locations

3653 Cortez Rd W
Ste 100
Bradenton, FL 34210
Phone (941) 727-8799

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1912063470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9215 12TH AVE NW",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342098303",
            "telephone_number": "941-920-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9215 12TH AVE NW",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342098303",
            "telephone_number": "941-920-7445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3653 Cortez Rd W",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342103168",
            "country_code": "US",
            "telephone_number": "941-727-8799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GULF COAST PSYCHOLOGY & HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "DINKIN",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-727-8799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.