Amy Melinda Hartley, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8657 Issued in FL

Practice address

8355 Merchants Gate Dr
Jacksonville, FL 32222-5848

Phone

(904) 376-3800

Fax

(904) 390-7419

NPI assigned

May 8, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Amy Melinda Hartley-Jesseman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1326483017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44230",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314230",
            "telephone_number": "904-376-3800",
            "fax_number": "904-376-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 MERCHANTS GATE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322225848",
            "telephone_number": "904-376-3800",
            "fax_number": "904-390-7419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Naval Hospital Jacksonville",
            "address_2": "2080 Child Street",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322140001",
            "country_code": "US",
            "telephone_number": "904-542-3473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "AMY",
        "middle_name": "MELINDA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HARTLEY-JESSEMAN",
            "middle_name": "MELINDA",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Richard A. Hartert Jr., M.D.
• Daniel Hartigan, MD
• Joseph R. Hartigan, M. D.
• Kelsey Hartigan
• Mary S Hartigan, DMD
• Bhumi Hartley, PHYSICIAN ASSISTANT
• Catherine Hartley, MD
• Gregory W Hartley, DMD
• Michel Hartley, ARNP
• Hope Elizabeth Hartline

• Clinical Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.