Patterson Behavioral Health LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PATTERSON BEHAVIORAL HEALTH LLC

Practice address

90 Fort Wade Rd Ste 100
Ponte Vedra, FL 32081-5114

Phone

(904) 351-6342

NPI assigned

Apr 2, 2025

Organization subpart

No

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

Authorized official

Name

Dr. De'Von Patterson, PHDNPI 1326567587

Title

Owner

Phone

(904) 351-6342

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devon Patterson, PHD

  • Clinical Psychologist
  • Ponte Vedra, FL
  • NPI 1326567587
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1265236020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 BEACH BLVD UNIT 17254",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322458051",
            "telephone_number": "904-351-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 FORT WADE RD STE 100",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815114",
            "telephone_number": "904-351-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "DE'VON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-351-6342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Ana Otero, MA; CCC-SLP
• Palm Leaf Dental
• Avelina Paly
• Pamela J. Skaff DDS (Dental Design)
• Yuval Adrash Dinesh Patel, M.D.
• Devon Patterson, PHD
• Mary Catharine Penn, ARNP
• Andria U Pennant, MD
• Jonathan Isaiah Perez-Guerra
• Matthew Perez-Smith

• Clinical Psychologist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.