Dragonfly Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DRAGONFLY PSYCHOLOGICAL SERVICES LLC

Practice address

920 Windley Dr
St Augustine, FL 32092-0124

Phone

(805) 796-1797

NPI assigned

Mar 28, 2024

Organization subpart

No

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

Authorized official

Name

Deborah Wiedlund-CalamNPI 1366569451

Title

Owner

Phone

(805) 796-1797

Specialties & licenses 1

Addresses

Practitioners 1

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

• Deborah L. Wiedlund-Calam

  • Student in an Organized Health Care Education/Training Program
  • Simi Valley, CA
  • NPI 1366569451
  NPD Authorized official

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1376394288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WINDLEY DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320920124",
            "telephone_number": "805-796-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 WINDLEY DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320920124",
            "telephone_number": "805-796-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "WIEDLUND-CALAM",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-796-1797"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dr. Townsend & Associates, P.a.
• Nicholas J Dreger, DPT, ATC
• Allen Drozd, LMHC, NCC
• Kirstin Sage Drozd
• DRS Baker & Gilmour MD PA
• DRS Paul and Shirley Leadem PA Inc

• Clinical Psychologist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.