DR. LYNDA A BROGDON (NPI# 1669401865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669401865 |
| Entity Type | Individual |
| Full Name | DR. LYNDA A BROGDON |
| Credential | PH.D, |
| Practice Address |
2300 Killearn Center Blvd Tallahassee FL 32309-3524 |
| Practice Telephone | 8508938800 |
| Practice Fax Number | 8508936994 |
| Mailing Telephone | 8508938800 |
| Mailing Fax Number | 8508936994 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PY4363 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 73708 | 01 |
| Street Address |
2300 KILLEARN CENTER BLVD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32309-3524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090995 | Canopy Counseling & Consulting LLC | Social Worker | 2709-4 Killarney Way, Tallahassee, FL 32309 | 2020-10-12 |
| 1164065975 | Kimberly Michelle Roberts | Technician | 3091 Hawks Landing Drive, Tallahassee, FL 32309 | 2019-10-24 |
| 1558911016 | Valerie Michelle Lewis | Technician | 12514 Moccasin Gap Road, Tallahassee, FL 32309 | 2019-09-17 |
| 1578027686 | Nicole Wolfe | Counselor | 2300 Killearn Center Blvd., Tallahassee, FL 32309 | 2019-01-23 |
| 1134588924 | Matthew Evers | Recreation Therapist | 3383 Aqua Ridge Way, Tallahassee, FL 32309 | 2016-02-22 |
| 1811393499 | Nick Tafuri | Counselor | 823 Sw Greenville Hills Road, Greenville, FL 32309 | 2014-11-10 |
| 1356689699 | Gallop Phedro Franklin II | Pharmacist | 3521 Thomasville, Tallahassee, FL 32309 | 2013-01-22 |
| 1871864157 | Darcee Ann Schmidt | Chiropractor | 3453 Welwyn Way, Tallahassee, FL 32309 | 2012-01-19 |
| 1700051802 | F & G Professional Care Coordinators LLC | Registered Nurse | 3458 Paces Ferry Rd, Tallahassee, FL 32309 | 2008-04-29 |
| 1588672489 | Dennis C Close | Dentist | 2929 Kerry Forest Parkway, Tallahassee, FL 32309 | 2006-08-04 |
| Find all providers in zip 32309 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316456585 | Raychel Powers | Psychologist | 267 John Knox Rd Ste 105, Tallahassee, FL 32303-6692 | 2017-09-20 |
| 1912157926 | Alicia Gail Conger | Psychologist | 4219 Sherborne Rd, Tallahassee, FL 32303-7605 | 2008-09-26 |
| 1689039703 | Alex Knaub | Psychologist | 4820 Kerry Forest Pkwy Ste A, Tallahassee, FL 32309-0201 | 2015-12-16 |
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|---|---|---|---|---|
| 1275132110 | Jasmine Medical Group - Florida, LLC | Psychologist | 10435 Riverside Dr, Palm Beach Gardens, FL 33410-4279 | 2020-10-21 |
| 1619598810 | Dickens Sanomi Corp | Psychologist | 6820 W Sunrise Blvd, Plantation, FL 33313-4570 | 2020-04-29 |
| 1679108955 | South Florida Senior Center | Psychologist | 2266 Sw 8th St, Miami, FL 33135-4929 | 2020-03-07 |
| 1609407022 | Jaqueline Mola Sanchez | Psychologist | 15141 Sw 144th Ct, Miami, FL 33186-5680 | 2020-02-04 |
| 1780224881 | Linda Bari Wohl | Psychologist | 7412 Riviera Cv, Lakewood Ranch, FL 34202-5044 | 2020-01-07 |
| 1790330504 | Connected Warriors | Psychologist | 950 Communications Ave Suite 115, Boca Raton, FL 33431 | 2019-08-08 |
| 1629620042 | Voyage Behavior Inc | Psychologist | 6411 Roosevelt St, Hollywood, FL 33024-5803 | 2019-07-15 |
| 1558826651 | Militza Saroza | Psychologist | 19901 Nw 67th Circle Ct, Hialeah, FL 33015-2418 | 2019-02-04 |
| 1508368192 | Live Oak Behavioral Health Pa | Psychologist | 341 N Maitland Ave Ste 120, Maitland, FL 32751-4761 | 2018-02-28 |
| 1952800328 | Ah Sunshineenterprises Inc | Psychologist | 6735 Conroy Rd Ste 326, Orlando, FL 32835-3568 | 2018-02-12 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32309 |
Please comment or provide details below to improve the information on DR. LYNDA A BROGDON.
| 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.