Organization Active NPI

Stillwaters Psychology, LLC

  • Clinical Psychologist
  • Jacksonville, FL
National Provider Identifier
1346729936
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8528 Issued in FL
Legal business name
STILLWATERS PSYCHOLOGY, LLC
Practice address
12412 San Jose Blvd Ste 401
Jacksonville, FL 32223-8620
Phone
(904) 385-5938
Fax
(904) 372-6107
NPI assigned
Aug 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Dr. Alison M Singleton, PSY.D.NPI 1679835631
Title
Sole Practice Owner, Clinical Psych
Phone
(904) 385-5938

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY8528 FL Primary

Addresses

Primary practice location

12412 San Jose Blvd Ste 401
Jacksonville, FL 32223-8620

Mailing address

12412 San Jose Blvd Ste 401
Jacksonville, FL 32223-8620
Phone (904) 385-5938

National Provider Directory

National Provider Directory

Locations

13400 Sutton Park Dr S
Ste 1504
Jacksonville, FL 32224
Phone (904) 223-5007

2950 Halcyon Ln
Ste 204
Jacksonville, FL 32223
Phone (904) 262-1900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1346729936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12412 SAN JOSE BLVD STE 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238620",
            "telephone_number": "904-385-5938",
            "fax_number": "904-372-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12412 SAN JOSE BLVD STE 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238620",
            "telephone_number": "904-385-5938",
            "fax_number": "904-372-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATERS PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE PRACTICE OWNER, CLINICAL PSYCH",
        "authorized_official_telephone_number": "904-385-5938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8528",
            "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 Mar 11, 2025; 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.