Psychdynamics, P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0055296 Issued in FL

Legal business name

PSYCHDYNAMICS, P.A.

Practice address

1209 NW 12TH Ave
Gainesville, FL 32601-4113

Phone

(352) 376-4111

Fax

(352) 376-4122

NPI assigned

Nov 23, 2012

Organization subpart

No

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

Authorized official

Name

Eve A Hershberger, M.D.

Title

President

Phone

(352) 359-5709

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353628800000",
    "number": "1982948337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 NW 12TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014113",
            "telephone_number": "352-376-4111",
            "fax_number": "352-376-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 NW 12TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014113",
            "telephone_number": "352-376-4111",
            "fax_number": "352-376-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHDYNAMICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-23",
        "last_updated": "2012-11-23",
        "status": "A",
        "authorized_official_last_name": "HERSHBERGER",
        "authorized_official_first_name": "EVE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-359-5709",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0055296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063304600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul E. Prusakowski, CPO, LPO
• Camila Pryor, M.S CCC-SLP
• Sandra Ivette Pryor
• Rene Przkora, M.D., PH.D., MMS
• Paul Joseph Psychas, M.D.
• Psychological Care and Consultation, LLC
• Psychotherapy and Consultation Associates, LLC
• Psynoptic PLLC
• Publix Super Markets Inc
• Publix Super Markets Inc

• Psychiatry Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2012; 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.