Kathryn Fleming Hanson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY11388 Issued in FL

Practice address

460 Town Plaza Ave
Ponte Vedra, FL 32081-5139

Phone

(904) 834-9292

NPI assigned

May 29, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1558740068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11672 GOLDEN LAKE LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 TOWN PLAZA AVE",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815139",
            "telephone_number": "904-834-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING HANSON",
        "first_name": "KATHRYN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Coast Home Care, LLC (Always Responsive Home Care of Ponte Vedra)
• Five Star Physical Therapy
• Papatya C Fix, RPH
• Flagler Professional Health Care Services Inc. (Flagler Health Imaging Clinic/Center Radiology)
• Flagler Professional Health Care Services, Inc. (Flagler Health Imaging)
• Kerri Michele Fleming, PT, DPT
• Jordan Fletcher
• Florida Ocd and Anxiety Specialists, LLC
• Kaitlin Fogarty
• Arnold Douglas Fong, M.D.

• Clinical Psychologist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.