DR. JOHN T SUPER PH.D.
NPI 1487683017
Psychologist in Bradenton, FL

Active since July 03, 2006
9906 E STATE ROAD 64, BRADENTON, FL 34212(941) 708-5306(941) 708-5357 Get Directions Write a Review

NPPES record last updated: February 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John T Super Ph.d. NPPES

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

DR. JOHN T SUPER PH.D. (NPI 1487683017) is an individual psychologist in Bradenton, Florida, licensed in Florida (PY4440) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1487683017
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOHN T SUPERCredential: PH.D.
Location Address9906 E STATE ROAD 64Bradenton, FL 34212-5303
Mailing Address9906 E State Road 64Bradenton, FL 34212-5303 · (941) 708-5306 · Fax (941) 708-5357
Fax(941) 708-5357
Sole ProprietorYes
Enumeration DateJuly 3, 2006
Last NPPES UpdateFebruary 7, 2013
NPI 1487683017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY4440
Definition
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.
9906 E STATE ROAD 64, Bradenton, FL 34212

Other Identifiers 1

Medicare ID-Type Unspecified73946FL · Psychologist

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
231 services14 patients

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 John Super's NPI number?

The NPI number for John Super is 1487683017. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is John Super located?

John Super practices at 9906 E State Road 64, Bradenton, FL 34212. The listed phone number is (941) 708-5306.

What is John Super's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for John Super was last updated on February 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.