DR. THEODORA P COFFMAN PH.D
NPI 1922475599
Psychologist in St Petersburg, FL

Active since August 30, 2015PECOS EnrolledAccepts Medicare Assignment
146 2ND ST N, SUITE 310, ST PETERSBURG, FL 33701(727) 251-6874(727) 308-1185 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2023, Nov 4, 2016 (2 updates tracked since 2016).

About Dr. Theodora P Coffman Ph.d NPPES

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

DR. THEODORA P COFFMAN PH.D (NPI 1922475599) is an individual psychologist in St Petersburg, Florida, licensed in Florida (PY 9365) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Florida State University College Of Medicine (2014).

NPPES Registry Identity

NPI1922475599
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. THEODORA P COFFMANCredential: PH.D
Location Address146 2ND ST N, SUITE 310St Petersburg, FL 33701-3328
Mailing Address146 2nd St N, Suite 310St Petersburg, FL 33701-3328 · (727) 251-6874 · Fax (727) 308-1185
Fax(727) 308-1185
Sole ProprietorYes
Medical School CMSFlorida State University College Of MedicineGraduated 2014
Enumeration DateAugust 30, 2015
Last NPPES UpdateJune 16, 20232 updates tracked since enumeration
NPPES CertifiedJune 16, 2023
NPI 1922475599 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 · PY 9365
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.
146 2ND ST N, St Petersburg, FL 33701

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Theodora P Coffman Ph.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850751744
PECOS Enrollment IDI20231024001381
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
146 2ND ST N, SUITE 310
ST PETERSBURG, FL 33701
Nurse Practitioner (Primary Care)
146 2ND ST N
ST PETERSBURG, FL 33701
Social Worker (Clinical)
146 2ND ST N, SUITE 310
ST PETERSBURG, FL 33701
Social Worker (Clinical)
146 2ND ST N
ST PETERSBURG, FL 33701
Counselor (Mental Health)
146 2ND ST N
ST PETERSBURG, FL 33701
Counselor (Mental Health)
146 2ND ST N
SAINT PETERSBURG, FL 33701
Counselor (Mental Health)
146 2ND ST N, SUITE 200
ST PETERSBURG, FL 33701

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 Theodora Coffman's NPI number?

The NPI number for Theodora Coffman is 1922475599. It was assigned to this individual provider in the NPPES registry on August 30, 2015.

Where is Theodora Coffman located?

Theodora Coffman practices at 146 2nd St N Suite 310, St Petersburg, FL 33701. The listed phone number is (727) 251-6874.

What is Theodora Coffman's specialty?

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

Is Theodora Coffman enrolled in Medicare?

Yes. Theodora Coffman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theodora Coffman accept?

Health plans from Providence Health Plan and Wellpoint list Theodora Coffman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodora Coffman was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.