Individual provider Active NPI

Stuart E Townsend, PH.D.

  • Clinical Psychologist
  • St Augustine, FL
National Provider Identifier
1497037774
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8104 Issued in FL
Practice address
9 Saint Johns Medical Park Dr
St Augustine, FL 32086-5343
Phone
(904) 797-2705
Fax
(904) 797-2820
NPI assigned
Sep 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY8104 FL Primary

Addresses

Primary practice location

9 Saint Johns Medical Park Dr
St Augustine, FL 32086-5343

Mailing address

9 Saint Johns Medical Park Dr
St Augustine, FL 32086-5343
Phone (904) 797-2705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161121001217 FL Practitioner - Clinical Psychologist 2567741234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. Townsend and Associates, P.a.Group PAC ID 4587852249, 6 clinicians

Practice addresses (Care Compare)

9 Saint Johns Medical Park Dr
Suite a
St Augustine, FL 32086-5955
Phone (904) 797-2705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY8104FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Townsend & Associates, P.a. Clinical CurrentSince Oct 1, 2016 Accepting new patients
Dr. Steven P. Dingfelder & Assoc., Inc. Clinical PastSince Oct 1, 2016 Accepting new patients

Locations

9 Saint Johns Medical Park Dr
St Augustine, FL 32086
Phone (904) 797-2705

9 Saint Johns Medical Park Dr
Ste A
St Augustine, FL 32086
Phone (904) 797-2705

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1497037774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SAINT JOHNS MEDICAL PARK DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865343",
            "telephone_number": "904-797-2705",
            "fax_number": "904-797-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SAINT JOHNS MEDICAL PARK DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865343",
            "telephone_number": "904-797-2705",
            "fax_number": "904-797-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "STUART",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.