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Active NPI 1487683017 Individual Practitioner Male Practitioner

Dr. John T Super , PhD

Psychologist • Bradenton, FL

Professional Overview & Biography Verified Profile Summary

Dr. John Super, PhD is a registered healthcare professional specializing in Psychologist in Bradenton, FL. Practice services are available at 9906 E STATE ROAD 64 under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9906 E State Road 64

Bradenton, FL 342125303

Telephone 9417085306
Fax 9417085357

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Bradenton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.6 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
16 Specialists

Practicing in Bradenton, FL (2327 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
231 14 $250.00 $144.03

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License FL PY4440

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 07, 2013

NPI status registered as active in NPPES database

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Updated Practice Location February 07, 2013

Registered at 9906 E STATE ROAD 64, BRADENTON, FL 342125303 (Tel: 9417085306)

📍
Updated Business Mailing Address February 07, 2013

Registered at 9906 E STATE ROAD 64, BRADENTON, FL 342125303 (Tel: 9417085306)

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Provider Name / Credentials Updated February 07, 2013

Recorded as JOHN SUPER, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2013

Psychologist (License #PY4440 in FL)

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Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487683017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2006
Last Update: February 07, 2013
Sole Proprietor: Yes

Mailing Address

9906 E State Road 64

Bradenton, FL 342125303

Phone: 9417085306

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.