Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PSYCHOLOGICAL SERVICES OF JACKSONVILLE LLC
Deactivated OrganizationPSYCHOLOGICAL SERVICES OF JACKSONVILLE LLC is a Clinical Psychologist organization located in ORANGE PARK, Florida. NPI 1528005311 is deactivated in the NPPES registry. Verify at CMS.
Clinical Psychologist · ORANGE PARK, FL
This NPI has been deactivated.
The record was deactivated on October 16, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1528005311
- Provider Type
- Organization
- NPI Issued
- Jun 1, 2006 (18.375342465753 yrs)
- Last Updated
- Sep 25, 2025
- Deactivated
- Oct 16, 2024
- License
-
PY-7122 (FL)
Practice Information
- Address
-
358 STILES AVESUITE BORANGE PARK, FL, 320734012Browse FL providers · Browse ZIP 32073
- Phone
- 9042648311
- Fax
- 9042648377
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Organizations in ORANGE PARK, FL
| Name | NPI |
|---|---|
| KROP & NEIDIGH | 1295700029 |
| J NICHOLAS PREWETT PHD & ASSOCIATES PA | 1134276140 |
| DR BLAKE BAZEL PHD PA | 1467792697 |
| EMERY MILNE PSYCHOLOGICAL GROUP, LLC | 1548741705 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.