DR. JOHN T SUPER (NPI# 1487683017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487683017 |
| Entity Type | Individual |
| Full Name | DR. JOHN T SUPER |
| Credential | PH.D. |
| Practice Address |
9906 E State Road 64 Bradenton FL 34212-5303 |
| Practice Telephone | 9417085306 |
| Practice Fax Number | 9417085357 |
| Mailing Telephone | 9417085306 |
| Mailing Fax Number | 9417085357 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY4440 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285950832 | John Thomas Super | Marriage & Family Therapist | 938 Lake Baldwin Ln, Orlando, FL 32814-6651 | 2010-04-07 |
| Street Address |
9906 E STATE ROAD 64 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34212-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134789639 | Costco Wholesale Corporation | Pharmacy | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| 1255899852 | Lisa M Reo | Counselor | 1052 River Wind Circle, Bradenton, FL 34212 | 2019-03-04 |
| 1255897054 | Drexyl Eitniear | Massage Therapist | 6530 Anchor Loop, Apt. 18-207, Bradenton, FL 34212 | 2019-02-17 |
| 1689012163 | Sophia B Moorjani | Nurse Practitioner | 12809 Kite Drive, Bradenton, FL 34212 | 2013-06-06 |
| 1871789743 | Michael Mcconnaghy | Massage Therapist | 9904 Sr 64 East, Bradenton, FL 34212 | 2007-09-24 |
| 1841388477 | Joseph Daniel Oliveira | Radiology | 6162 9th Ave. Circle Ne, Bradenton, FL 34212 | 2006-10-10 |
| 1831116292 | Sheryl V Okuhara | Internal Medicine | 1854 Rye Road East, Unit E, Bradenton, FL 34212 | 2006-07-15 |
| 1326079625 | Kristin Beth Kulju | Chiropractor | 1850 Rye Rd, Bradenton, FL 34212 | 2006-07-05 |
| 1922063866 | Andrzej Kucharski | Family Medicine | 1040 River Heritage Blvd Unit 204, Bradenton, FL 34212 | 2006-04-20 |
| 1033779541 | Costco Wholesale Corporation | Hearing Aid Equipment | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| Find all providers in zip 34212 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629194808 | Thomas E. Skoloda | Psychologist | 5000 Lakewood Ranch Blvd, Bradenton, FL 34211-4909 | 2007-03-21 |
| 1003955543 | Janet E. Holmes | Psychologist | 5107 2nd Avenue Dr Nw, Bradenton, FL 34209-2647 | 2007-02-05 |
| 1225195084 | Patricia Bach | Psychologist | 4835 27th St W Ste 125, Bradenton, FL 34207-1759 | 2007-01-02 |
| 1659434488 | Rick E Miller | Psychologist | 515 27th St E, Ste 3, Bradenton, FL 34208-1864 | 2006-12-19 |
| 1508935479 | Claudia Hoffman | Psychologist | 10073 Cherry Hills Avenue Cir, Bradenton, FL 34202-4059 | 2006-11-07 |
| 1568545770 | Roxane Dinkin | Psychologist | 3653 Cortez Rd W Ste 100, Bradenton, FL 34210-3168 | 2006-10-23 |
| 1275549297 | William Eric Bryant | Psychologist | 1923 St George Dr, Bradenton, FL 34208 | 2006-07-31 |
| 1912958133 | Joseph Anthony Padronaggio | Psychologist | 4910 14th St W, Suite 301, Bradenton, FL 34207-2482 | 2006-05-12 |
| 1053804708 | Veronica Patricia Medina | Psychologist | 4835 27th St W Ste 125, Bradenton, FL 34207-1759 | 2018-06-07 |
| 1033596333 | Premier Behavioral Solutions of Florida Inc. | Psychologist | 4480 51st St W, Bradenton, FL 34210-2855 | 2015-05-06 |
| Find all providers in BRADENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.