Active NPI
Ladonna Dahl Psy.D., Inc.
- Psychologist
- Jacksonville, FL
National Provider Identifier
1225408040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY8020
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 DirectoryLocations
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.