Active NPI
Billy Alan Palmer Jr., PHD
- Psychologist
- Gainesville, FL
National Provider Identifier
1316661739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY11502
- Practice address
- 1150 NW 8TH Ave
Gainesville, FL 32601-4967 - Phone
- (352) 756-2522
- NPI assigned
- Sep 29, 2022
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY11502 | FL | Primary |
Addresses
Primary practice location
1150 NW 8TH Ave
Gainesville, FL 32601-4967
Mailing address
3316 NW 42ND Ter
Gainesville, FL 32606-6109
Phone (352) 756-2522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 24, 2024 through May 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY11502 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1316661739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3316 NW 42ND TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066109",
"telephone_number": "352-756-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 NW 8TH AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326014967",
"telephone_number": "352-756-2522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "BILLY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-29",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY11502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.