Active NPI
Kerry Haffey Condit, PHD
- Psychologist
- Jacksonville, FL
National Provider Identifier
1043656754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY7903
- Practice address
- 3750 San Jose PL
Suite 35
Jacksonville, FL 32257-8858 - Phone
- (904) 886-9006
- NPI assigned
- May 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY7903 | FL | Primary |
Addresses
Primary practice location
3750 San Jose PL
Suite 35
Jacksonville, FL 32257-8858
Mailing address
3750 San Jose PL
Suite 35
Jacksonville, FL 32257-8858
Phone (904) 886-9006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY7903 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1043656754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 SAN JOSE PL",
"address_2": "SUITE 35",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322578858",
"telephone_number": "904-886-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 SAN JOSE PL",
"address_2": "SUITE 35",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322578858",
"telephone_number": "904-886-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDIT",
"first_name": "KERRY",
"middle_name": "HAFFEY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY7903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.