DR. JAMES M MCGOVERN (NPI# 1811982598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811982598 |
| Entity Type | Individual |
| Full Name | DR. JAMES M MCGOVERN |
| Credential | PSY.D. |
| Practice Address |
1023 Manatee Ave W Ste 302 Bradenton FL 34205-7816 |
| Practice Telephone | (941) 405-6413 |
| Practice Fax Number | 9412163323 |
| Mailing Telephone | 9414053614 |
| Mailing Fax Number | 9412163323 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2017-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PY4238 | FL | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PY4238 | FL | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PY4238 | FL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY4238 | FL | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY4238 | FL | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
PY4238 | FL | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
PY4238 | FL | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
PY4238 | FL | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
PY4238 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 73532 | 01 |
| FL | RAIL ROAD MEDICARE | 680010165 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053447672 | James D Mcgovern | Internal Medicine | 3669 Point Ln, Green Bay, WI 54311-9766 | 2007-02-26 |
| 1790763928 | James Patrick Mcgovern | Psychiatry & Neurology | 4101 University Blvd, Tyler, TX 75701-6623 | 2006-01-06 |
| 1053543892 | James Robert Mcgovern | Chiropractor | 350 W Line St, Bishop, CA 93514-3413 | 2009-08-12 |
| 1366681785 | James Mcgovern | Social Worker | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2009-02-09 |
| 1003065657 | James P Mcgovern | Pharmacist | 385 Route 25a, Miller Place, NY 11764-2525 | 2008-09-18 |
| 1922030386 | James J Mcgovern | Internal Medicine | 130 2nd St, Neenah, WI 54956-2883 | 2006-07-07 |
| 1134180888 | James Mcgovern | Personal Emergency Response Attendant | 1700 Sw 7th St, Topeka, KS 66606-1674 | 2006-03-31 |
| 1184620205 | James J Mcgovern | Pediatrics | 5 Vanderbilt Park Dr, Asheville, NC 28803-1700 | 2005-06-23 |
| Street Address |
1023 MANATEE AVE W STE 302 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34205-7816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
| 1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
| 1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
| 1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| Find all providers in zip 34205 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689106262 | Stephanie Feil Johnson | Clinical Neuropsychologist | 3902 E State Road 64, Bradenton, FL 34208-9059 | 2017-04-01 |
| 1699820613 | Tashawna K Duncan | Clinical Neuropsychologist | 5245 Office Park Blvd, Suite 105, Bradenton, FL 34203-3444 | 2007-01-23 |
| 1891850772 | Michael B Spellman | Clinical Neuropsychologist | 4835 27th St W, Suite 125, Bradenton, FL 34207-1768 | 2006-12-22 |
| 1821023797 | Denise K. Gross | Clinical Neuropsychologist | 6015 111th St E, Bradenton, FL 34211-9468 | 2006-07-11 |
| 1023003886 | David James Hobbs | Clinical Neuropsychologist | 2110 58th St W, Bradenton, FL 34209-5660 | 2005-09-16 |
| 1861026569 | Gulfside Psychology Inc | Clinical Neuropsychologist | 3902 E State Road 64, Bradenton, FL 34208-9059 | 2020-03-03 |
| 1316963077 | Pinnacle Medical Group Pa | Clinical Neuropsychologist | 315 75th St W, Bradenton, FL 34209-3201 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512831 | Joshua Rooks, Phd, LLC | Clinical Neuropsychologist | 7328 Jacaranda Ln, Miami Lakes, FL 33014-2670 | 2020-09-09 |
| 1457978991 | Renew Psychiatric Care, LLC | Clinical Neuropsychologist | 3170 N Federal Hwy Ste 206b, Lighthouse Point, FL 33064-6720 | 2020-07-01 |
| 1871110460 | Thoughtwise LLC | Clinical Neuropsychologist | 2840 Remington Green Cir Ste 3, Tallahassee, FL 32308-1518 | 2020-06-29 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1124667795 | Jennifer Ann Barton | Clinical Neuropsychologist | 3411 Day Ave, Miami, FL 33133-5030 | 2019-12-31 |
| 1952947434 | Dagmar E Nunez | Clinical Neuropsychologist | 1351 Seagrape Cir, Weston, FL 33326-2726 | 2019-11-20 |
| 1821632779 | Joshua Daniel Rooks | Clinical Neuropsychologist | 6520 Miami Lakeway S, Miami Lakes, FL 33014-2747 | 2019-11-04 |
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1528627882 | Anchor Multispecialty Group | Clinical Neuropsychologist | 850 S Palafox St Unit 103, Pensacola, FL 32502-5983 | 2019-06-11 |
| 1639736473 | Aldrich Chan | Clinical Neuropsychologist | 2601 Sw 37th Ave Ste 703, Coral Gables, FL 33133-2750 | 2019-05-28 |
| Find all providers with the same taxonomy | ||||
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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.