Carlson Health Promotion

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY6537 Issued in FL

Legal business name

CARLSON HEALTH PROMOTION

Practice address

8833 Perimeter Park Blvd Ste 1202
Jacksonville, FL 32216-1128

Phone

(904) 641-6788

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dawn A Carlson, PH.D.NPI 1093924078

Title

President

Phone

(904) 483-8054

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dawn Carlson, PH.D.

  • Psychologist
  • Jacksonville, FL
  • NPI 1093924078
  NPD (past) Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1407975683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD STE 1202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161128",
            "telephone_number": "904-641-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD STE 1202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161128",
            "telephone_number": "904-641-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSON HEALTH PROMOTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-483-8054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry G Carlos, DO
• Sabrina Carlough
• Priscilla Carlsgaard, MS
• Carlson Dental Group Providers, LLC
• Carlson Dental Group Riverside, PA
• Dianna Carlson-Bright
• Aleia Carlson, OTD, OTR/L
• David Nylas Carlson, D.O.
• Dawn Carlson, PH.D.
• Jeremiah Wesley Carlson

• 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 Sep 25, 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.