DAVID J BOUDREAUX (NPI# 1720501869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720501869 |
| Entity Type | Individual |
| Full Name | DAVID J BOUDREAUX |
| Credential | PH.D. |
| Practice Address |
10770 N 46th St Bldg E Tampa FL 33617-3442 |
| Practice Telephone | (813) 631-2583 |
| Practice Fax Number | 8136313581 |
| Mailing Telephone | 8136312583 |
| Mailing Fax Number | 8136313581 |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 9894 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063494722 | David Michael Boudreaux | Nurse Anesthetist, Certified Registered | 902 N Hennessey St, New Orleans, LA 70119-3622 | 2005-11-17 |
| 1982664371 | David A Boudreaux | Pathology | 5339 Odonavan, Baton Rouge, LA 70808-4388 | 2006-03-28 |
| Street Address |
10770 N 46TH ST BLDG E |
| City | TAMPA |
| State | FL |
| Zip Code | 33617-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427590348 | Amanda Nguyen | Social Worker | 10770 N 46th St Bldg E, E-178, Tampa, FL 33617-3442 | 2016-11-09 |
| 1396228904 | Ryan Patrick Coppens | Psychologist | 10770 N 46th St Bldg E, Tampa, FL 33617-3442 | 2018-09-10 |
| 1558859462 | Heather N. Kacos | Psychologist | 10770 N 46th St Bldg E, Tampa, FL 33617-3442 | 2018-04-26 |
| 1396281101 | Katie Beth Thomas | Psychologist | 10770 N 46th St Bldg E, Tampa, FL 33617-3442 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253195 | Kare Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 7860 North 56th Street, Tampa, FL 33617 | 2020-04-10 |
| 1942840467 | Care Medrx LLC | Pharmacy | 311 Bullard Pkwy Ste. B, Temple Terrace, FL 33617 | 2020-01-13 |
| 1467004804 | Favorite Care Services, LLC | In Home Supportive Care | 7628 N 56th St Ste 2, Tampa, FL 33617 | 2019-07-16 |
| 1982265625 | Promise Home Care Agency LLC | In Home Supportive Care | 315 Bahamas Ave, Tampa, FL 33617 | 2019-06-24 |
| 1164912754 | Superior Physician Group | Pain Medicine | 10730 N 56th St Ste 209, Temple Terrace, FL 33617 | 2018-05-18 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1184112427 | Imperial Connections Support Programs, LLC | In Home Supportive Care | 9806 N Connechusett Rd, Tampa, FL 33617 | 2018-04-23 |
| 1609394204 | Erin E Sleeper | Behavior Technician | 418 Belle Claire Ave, Temple Terrace, FL 33617 | 2017-09-03 |
| 1720504293 | Robin A Kelly | Nurse's Aide | 7523 Pitch Pine Circle, Apt B, Tampa, FL 33617 | 2017-08-16 |
| 1174046023 | Rishita Amish Patel | Pharmacist | 532 Heritage Brook Cir, Apt #101, Temple Terrace, FL 33617 | 2017-07-24 |
| Find all providers in zip 33617 | ||||
| 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 |
|---|---|---|---|---|
| 1063035392 | Dr Patti L Barrows Inc | Psychologist | 9403 Oak Meadow Ct, Tampa, FL 33647-2526 | 2020-05-21 |
| 1497313514 | Beth C. Boone, Ph.d., Pllc | Psychologist | Paragon Counseling - 14448 Bruce B Downs Blvd Fl 33613, Tampa, FL 33613-2612 | 2019-06-04 |
| 1205314804 | Advanced Behavior Center Inc | Psychologist | 5108 N Habana Ave Ste 1&2, Tampa, FL 33614-6822 | 2018-08-06 |
| 1962980292 | Kenya Latonya King | Psychologist | 14502 N Dale Mabry Highway, Tampa, FL 33618-2705 | 2018-07-30 |
| 1275024069 | Ulrike Barbara Wolter | Psychologist | 1209 E Cumberland Ave Unit 2801, Tampa, FL 33602-4262 | 2018-05-29 |
| 1225536287 | Interface Consulting and Psychological Services, LLC | Psychologist | 5606 N Nebraska Ave, Tampa, FL 33604-7124 | 2018-01-24 |
| 1437500246 | Sylvia Johnson | Psychologist | 11901 Middlebury Dr, Tampa, FL 33626-2521 | 2016-06-23 |
| 1306291067 | Melina Scally Psyd LLC | Psychologist | 1506 N 15th St, Tampa, FL 33605-5044 | 2016-05-02 |
| 1104283142 | Geeta R Arora | Psychologist | 5106 Lanai Way, Tampa, FL 33624-2537 | 2016-01-21 |
| 1245634294 | Child and Family Learing | Psychologist | 16105 Cadbury Ct, Tampa, FL 33647-1135 | 2014-10-20 |
| Find all providers in TAMPA | ||||
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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.