Organization Active NPI

Ladonna Dahl Psy.D., Inc.

  • Psychologist
  • Jacksonville, FL
National Provider Identifier
1225408040
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY8020 Issued in FL
Legal business name
LADONNA DAHL PSY.D., INC.
Practice address
4110 Southpoint Blvd
Ste 114
Jacksonville, FL 32216-0947
Phone
(786) 512-9983
Fax
(888) 557-6165
NPI assigned
Oct 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ladonna Dahl, PSY.D.
Title
Clinical Psychologist
Phone
(786) 512-9983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY8020 FL Primary

Addresses

Primary practice location

4110 Southpoint Blvd
Ste 114
Jacksonville, FL 32216-0947

Mailing address

4110 Southpoint Blvd
Ste 114
Jacksonville, FL 32216-0947
Phone (786) 512-9983

National Provider Directory

National Provider Directory

Locations

4110 Southpoint Blvd
Ste 114
Jacksonville, FL 32216
Phone (786) 512-9983

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1225408040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 SOUTHPOINT BLVD",
            "address_2": "STE 114",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160947",
            "telephone_number": "786-512-9983",
            "fax_number": "888-557-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 SOUTHPOINT BLVD",
            "address_2": "STE 114",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160947",
            "telephone_number": "786-512-9983",
            "fax_number": "888-557-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADONNA DAHL PSY.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "786-512-9983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8020",
            "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 Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.