HOLLI BODNER (NPI# 1184640013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184640013 |
| Entity Type | Individual |
| Full Name | HOLLI BODNER |
| Credential | PSY D |
| Practice Address |
51 Wallace Ave Sarasota FL 34237-6025 |
| Practice Telephone | 9413518333 |
| Practice Fax Number | 9413587229 |
| Mailing Telephone | 9413518333 |
| Mailing Fax Number | 9413587229 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0004288 | FL | Behavioral Health & Social Service Providers |
| Street Address |
51 WALLACE AVE |
| City | SARASOTA |
| State | FL |
| Zip Code | 34237-6025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932461365 | Marie Mcdonald, Psy.d., P.a. | Clinic/Center | 51 Wallace Ave, Sarasota, FL 34237-6025 | 2012-06-12 |
| 1831344696 | Cynthia A Bailey Ph D P A | Clinical Neuropsychologist | 51 Wallace Ave, Sarasota, FL 34237-6025 | 2008-11-20 |
| 1548422652 | Holli L Bodner Psy D P A | Psychologist | 51 Wallace Ave, Sarasota, FL 34237-6025 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215595004 | Brett Sondag | Counselor | 2033 Wood St., Ste. 215, 218, 220, Sarasota, FL 34237 | 2019-06-05 |
| 1730608274 | Stacy Lee Panzella | Behavior Technician | 2461 8th Street, Unit 52, Sarasora, FL 34237 | 2017-09-15 |
| 1871010942 | Katy Darlene Wendel | Registered Nurse | 1231 N. Tuttle Avenue, Sarasota, FL 34237 | 2017-08-29 |
| 1639699663 | Mark W. Phillips | Nurse Practitioner | 1 S School Ave Ste 200, Sarasota, FL 34237 | 2017-06-21 |
| 1295075281 | Baltimore Orioles Limited Partnership | Non-Pharmacy Dispensing Site | 1090 Euclid Ave, Ed Smith-baltimore Orioles-athletic Training Department, Sarasota, FL 34237 | 2013-02-27 |
| 1164786877 | Robin Susan Bernstein | Counselor | 520 Payne Pkwy, Sarasota, FL 34237 | 2012-06-27 |
| 1598053787 | Linda B Sherr | Counselor | 504 Payne Parkway, Sarasota, FL 34237 | 2011-07-21 |
| 1245463405 | Lydia Gay Corn | Internal Medicine | 80 S Tuttle Avenue, Suite 100, Sarasota, FL 34237 | 2009-09-03 |
| 1316187156 | John R Picken Md | General Practice | 3530 Fruitville Road, Sarasoa, FL 34237 | 2009-03-05 |
| 1124299193 | Manav Malik | Dentist | 3103 Fruitville Rd, Sarasota, FL 34237 | 2008-03-18 |
| Find all providers in zip 34237 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821477944 | William Siff | Psychologist | 1255 N Gulfstream Ave Apt 604, Sarasota, FL 34236-8927 | 2015-05-21 |
| 1396140489 | Baird Psychology Services, LLC | Psychologist | 2831 Ringling Blvd Ste 207c, Sarasota, FL 34237-5351 | 2014-10-31 |
| 1790198463 | Mickaella Moreta Corp | Psychologist | 2401 University Pkwy Bldg 1, Suite 203, Sarasota, FL 34243-2893 | 2014-06-10 |
| 1205155900 | John Samuel Kleinbaum | Psychologist | 7414 Linden Ln, Sarasota, FL 34243-5129 | 2010-05-20 |
| 1023269941 | Amy L Hoffman | Psychologist | 2844 Proctor Rd, Suite 3, Sarasota, FL 34231-6424 | 2008-10-09 |
| 1235326067 | Valeria Lynette Moore | Psychologist | 200 Herons Run Dr Apt 219, Sarasota, FL 34232-1760 | 2007-09-25 |
| 1962526780 | Marvin Keith Hendon | Psychologist | 240 North Washington Boulevard, 308, Sarasota, FL 34236 | 2007-03-19 |
| 1821129479 | Deborah Huntley | Psychologist | 4576 Ascot Cir S, Sarasota, FL 34235-3612 | 2007-03-07 |
| 1639204647 | Jessie Williams | Psychologist | 1221 S Tamiami Trl, Sarasota, FL 34239-2208 | 2007-02-22 |
| 1295892768 | Tara Michele Files-hall | Psychologist | 6977 Professional Parkway East, Sarasota, FL 34240-8411 | 2007-01-03 |
| Find all providers in SARASOTA | ||||
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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.