Active NPI
Richard E Nay, PHD
- Clinical Psychologist
- Jacksonville, FL
National Provider Identifier
1295725034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0004562
- Practice address
- 2970 Hartley Rd
Ste 201
Jacksonville, FL 32257-8227 - Phone
- (904) 886-4998
- Fax
- (904) 292-1094
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0004562 | FL | Primary |
Addresses
Primary practice location
2970 Hartley Rd
Ste 201
Jacksonville, FL 32257-8227
Mailing address
PO Box 23040
Jacksonville, FL 32241-3040
Phone (904) 886-4998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2970 Hartley Rd
Jacksonville, FL 32257-6245
Phone (904) 886-4998
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0004562 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard E. Nay PHD Inc | Clinical | Current | Accepting new patients |
Locations
2970 Hartley Rd
Ste 201
Jacksonville, FL 32257
Phone (904) 268-7733
10232 San Jose Blvd
Jacksonville, FL 32257
Phone (904) 292-3700
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Jacksonville, FL
- NPI 1770830994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1295725034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23040",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322413040",
"telephone_number": "904-886-4998",
"fax_number": "904-292-1094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2970 HARTLEY RD",
"address_2": "STE 201",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322578227",
"telephone_number": "904-886-4998",
"fax_number": "904-292-1094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAY",
"first_name": "RICHARD",
"middle_name": "E",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY0004562",
"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 Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.