Clinical & Health Psychology

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CLINICAL & HEALTH PSYCHOLOGY

Practice address

6545 Bowden Rd
Jacksonville, FL 32216-6149

Phone

(904) 448-0079

Fax

(904) 636-9661

NPI assigned

May 13, 2021

Organization subpart

No

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

Authorized official

Name

Frank G. Stanley, PHDNPI 1497799696

Title

Ceo/Psychologist

Phone

(904) 448-0079

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Clinical & Health Psychology

  • Clinical Psychologist
  • Jacksonville, FL
  • NPI 1578751384

  O20071212000201

  Same enrollment

Practitioners 4

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

• Frank G. Stanley, PH.D.

  • Clinical Psychologist
  • Jacksonville, FL
  • NPI 1497799696
  Medicare reassignment NPD Authorized official
• Barbara Jeanne McDougall II, PSY.D.

  • Psychologist
  • Jacksonville, FL
  • NPI 1679568737
  NPD (past)
• Chris McTarnaghan, MSW, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1124178389
  NPD (past)
• Jennifer Lynn Wolford, PSY.D.

  • Clinical Psychologist
  • Jacksonville, FL
  • NPI 1194922344
  NPD (past)

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1407420672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 BOWDEN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166149",
            "telephone_number": "904-448-0079",
            "fax_number": "904-636-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 BOWDEN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166149",
            "telephone_number": "904-448-0079",
            "fax_number": "904-636-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL & HEALTH PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO/PSYCHOLOGIST",
        "authorized_official_telephone_number": "904-448-0079",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "adminchp@comcast.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6545 Bowden Rd",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322166149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical & Health Psychology
• Clinical Excellence Integration
• Nicole Clinkscale
• Taryn Clinton
• Evan Clise

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.