Organization Active NPI

Mothermind Psychology

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1992323778
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MOTHERMIND PSYCHOLOGY
Practice address
3206 Cove Bend Dr
Tampa, FL 33613-2752
Phone
(813) 400-0375
Fax
(813) 616-6818
NPI assigned
Jul 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Patricia Hernandez PoudevidaNPI 1740420405
Title
Owner
Phone
(813) 400-0375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

3206 Cove Bend Dr
Tampa, FL 33613-2752

Mailing address

3206 Cove Bend Dr
Tampa, FL 33613-2752
Phone (813) 400-0375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230925000912 FL Part B Supplier - Clinic/Group Practice 3476907536 Receives reassigned benefits from 2 practitioners
Practice locations: Lutz, FL; Tampa, FL

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1992323778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "MOTHERMIND PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ POUDEVIDA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-400-0375"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.