GERALD HODAN (NPI# 1578609632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578609632 |
| Entity Type | Individual |
| Full Name | GERALD HODAN |
| Credential | PSYD |
| Practice Address |
3745 5th Ave N St Petersburg FL 33713-7519 |
| Mailing Address |
734 37th Ave Ne St Petersburg FL 33704-1620 |
| Practice Telephone | 7273990806 |
| Practice Fax Number | 8664693880 |
| Mailing Telephone | 7273990806 |
| Mailing Fax Number | 8664693880 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY2871 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE SHIELD OF FL | 59499 | 01 |
| Street Address |
3745 5TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-7519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750435293 | Claudia J Ressel-hodan | Psychologist | 3745 5th Ave N, St Petersburg, FL 33713-7519 | 2007-01-22 |
| 1689711830 | Hodan Psychological Services | Psychologist | 3745 5th Ave N, St Petersburg, FL 33713-7519 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902390438 | Christina B. Stabler, Pllc | Psychologist | 1507 4th St N, St Petersburg, FL 33704-4411 | 2018-06-18 |
| 1942793260 | Clearpoint Psychology, LLC | Psychologist | 2201 Central Ave Ste 300, St Petersburg, FL 33713-8844 | 2018-06-11 |
| 1144760091 | Nicole Archer | Psychologist | 163 5th Ave Ne, St Petersburg, FL 33701-3015 | 2017-02-26 |
| 1740730696 | Ariana Wittgenstein | Psychologist | 7901 4th St N Ste 322, St Petersburg, FL 33702-4313 | 2016-10-04 |
| 1629483698 | Nicole Agresto | Psychologist | 2150 49th St N Ste E, St Petersburg, FL 33710-5237 | 2014-06-27 |
| 1346535135 | Stephanie Tabitha Cojocaru | Psychologist | 233 3rd St N Ste 101, St Petersburg, FL 33701-3818 | 2011-06-09 |
| 1841504966 | Marissa M Petralia | Psychologist | 11300 4th St N, Suite 115, St Petersburg, FL 33716-2918 | 2010-07-30 |
| 1780812669 | Joseph D Carella | Psychologist | 5500 Dr Martin Luther King St N, St Petersburg, FL 33703-1204 | 2009-06-30 |
| 1417104225 | Marissa Alexis Feldman | Psychologist | 880 6th St S Ste 420, St Petersburg, FL 33701-4825 | 2008-08-22 |
| 1437316239 | David S Cubito Psyd Plc | Psychologist | 5565 Dr Mlk Jr Street North, St Petersburg, FL 33703 | 2008-05-20 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
Please comment or provide details below to improve the information on GERALD HODAN.
| 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.