Active NPI
Devon Patterson, PHD
- Clinical Psychologist
- Ponte Vedra, FL
National Provider Identifier
1326567587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY9935
- Practice address
- 90 Fort Wade Rd Ste 100
Ponte Vedra, FL 32081-5114 - Phone
- (904) 351-6342
- NPI assigned
- Sep 19, 2017
- 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 | PY9935 | FL | Primary |
Addresses
Primary practice location
90 Fort Wade Rd Ste 100
Ponte Vedra, FL 32081-5114
Mailing address
10700 Beach Blvd Unit 17254
Jacksonville, FL 32245-8051
Phone (904) 351-6342
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
90 Fort Wade Rd
Suite 100
Ponte Vedra, FL 32081-5114
Phone (904) 351-6342
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.95 of 100
- Quality
- 84.69
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9935 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patterson Behavioral Health LLC | Clinical | Current | Accepting new patients |
Locations
10700 Beach Blvd
Unit 17254
Jacksonville, FL 32245
90 Fort Wade Rd
Ste 100
Ponte Vedra Beach, FL 32081
Phone (734) 720-9782
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
- Ponte Vedra, FL
- NPI 1265236020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1326567587",
"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": {
"last_name": "PATTERSON",
"first_name": "DEVON",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-19",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY9935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponte Vedra, FL
Sources for this page
- 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; 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.