Wray Douglas Standard, BCABA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

BCABA 0-01-0318 Issued in FL

Practice address

4203 Southpoint Blvd
Jacksonville, FL 32216-6164

Phone

(904) 296-1055

Fax

(904) 296-1953

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Daniel Memorial, Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1346205861
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376676759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 CASTLEBAY DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578966",
            "telephone_number": "904-296-1055",
            "fax_number": "904-296-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 SOUTHPOINT BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166164",
            "telephone_number": "904-296-1055",
            "fax_number": "904-296-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDARD",
        "first_name": "WRAY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "BCABA 0-01-0318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rupert Stanborough, M.D.
• Fernando Stancampiano, MD
• China Stanciel
• Sebastian Robert Stanciu, MD
• Stephanie Ann Stancliff, DNP
• Paula Standberry, LMHC
• Riia N Standifer
• Lea Stanfield
• Petra Stanfield, RN
• Alisha Stanford, DMD

• Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.