DR. BRENT MADDOX WOMBLE PHD
NPI 1245996826
Psychologist - Clinical in Temple Terrace, FL

Q: What is Brent Womble's NPI number?

The NPI number for Brent Womble is 1245996826. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Q: What is Brent Womble's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Brent Womble was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 09, 2021

109 RIDGEDALE RD, TEMPLE TERRACE, FL 33617(940) 453-7930 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2024, Nov 9, 2021 (2 updates tracked since 2021).

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About Dr. Brent Maddox Womble Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRENT MADDOX WOMBLE PHD (NPI 1245996826) is an individual clinical provider in Temple Terrace, Florida, licensed in Virginia (0810007680) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1245996826

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BRENT MADDOX WOMBLECredential: PHD

Location Address109 RIDGEDALE RDTemple Terrace, FL 33617-5532

Mailing Address109 Ridgedale RdTemple Terrace, FL 33617-5532 · (940) 453-7930

Phone(940) 453-7930

Sole ProprietorYes

Enumeration DateNovember 9, 2021

Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration

NPPES CertifiedOctober 29, 2024

✔ NPI 1245996826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810007680

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

109 RIDGEDALE RD, Temple Terrace, FL 33617

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Womble's NPI number?

The NPI number for Brent Womble is 1245996826. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Where is Brent Womble located?

Brent Womble practices at 109 Ridgedale Rd, Temple Terrace, FL 33617. The listed phone number is (940) 453-7930.

What is Brent Womble's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Brent Womble was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.