NPIMap

Organization Active NPI

Dr. Townsend & Associates, P.a.

  • Clinical Psychologist
  • St Augustine, FL
National Provider Identifier
1497066344
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR. TOWNSEND & ASSOCIATES, P.A.
Practice address
9 Saint Johns Medical PK Dr
St Augustine, FL 32086-5343
Phone
(904) 797-2705
Fax
(904) 797-2820
NPI assigned
Jun 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Dr. Vanessa Townsend, PSY.D.NPI 1548439912
Title
Owner
Phone
(904) 797-2705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

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

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101221001176 FL Part B Supplier - Clinic/Group Practice 4587852249 Receives reassigned benefits from 6 practitioners
Practice locations: St Augustine, FL

National Provider Directory

National Provider Directory

Locations

6910 Old Wolf Bay Rd
Palatka, FL 32177
Phone (386) 328-4955

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

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1497066344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SAINT JOHNS MEDICAL PK 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 PK DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865343",
            "telephone_number": "904-797-2705",
            "fax_number": "904-797-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TOWNSEND & ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-797-2705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.