David M Feazell PHD P a

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY2187 Issued in FL

Legal business name

DAVID M FEAZELL PHD P A

Practice address

24 Cathedral PL
Suite 412
St Augustine, FL 32084-4473

Phone

(904) 824-9975

Fax

(904) 824-9943

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

David M Feazell, PH.D.NPI 1427247303

Title

Psychologist

Phone

(904) 824-9975

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Michael Feazell, PH.D.

  • Clinical Psychologist
  • St Augustine, FL
  • NPI 1427247303
  Authorized official Same address or phone
• Jeffrey M Fliesser, MD

  • Forensic Psychiatry Physician
  • Augusta, ME
  • NPI 1801873823
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1427276997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CATHEDRAL PL",
            "address_2": "SUITE 412",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844473",
            "telephone_number": "904-824-9975",
            "fax_number": "904-824-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CATHEDRAL PL",
            "address_2": "SUITE 412",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844473",
            "telephone_number": "904-824-9975",
            "fax_number": "904-824-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M FEAZELL PHD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "FEAZELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "904-824-9975",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY2187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandana Davani, M.D.
• David B. Goldberg, MD, PA
• David B. Tuchinsky, D.C., PLLC
• David J Gross MD PA
• David M Bortnick PHD Psy D PA
• Alberto G David, D.M.D.
• James David, BA
• Maria Teresa David, D.O.
• Alexandria Davidson, RBT
• Hillary Mixon Davidson, D.P.T

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.