Active NPI
Clinical Psychology Associates, P.a.
- Clinical Psychologist
- Pensacola, FL
National Provider Identifier
1659418945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY3226
- Legal business name
- CLINICAL PSYCHOLOGY ASSOCIATES, P.A.
- Practice address
- 4400 Bayou Blvd
Suite 51
Pensacola, FL 32503-2673 - Phone
- (850) 484-2608
- Fax
- (850) 484-2875
- NPI assigned
- Jan 30, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John F. Duffy
- Title
- Psychologist
- Phone
- (850) 484-2608
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY3226 | FL | Primary |
Addresses
Primary practice location
4400 Bayou Blvd
Suite 51
Pensacola, FL 32503-2673
Mailing address
4400 Bayou Blvd
Suite 51
Pensacola, FL 32503-2673
Phone (850) 484-2608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33188 | Other | FL | BCBS # |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Psychologist
- Pensacola, FL
- NPI 1457325144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1659418945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 BAYOU BLVD",
"address_2": "SUITE 51",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032673",
"telephone_number": "850-484-2608",
"fax_number": "850-484-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 BAYOU BLVD",
"address_2": "SUITE 51",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032673",
"telephone_number": "850-484-2608",
"fax_number": "850-484-2875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICAL PSYCHOLOGY ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DUFFY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "850-484-2608",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY3226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS #",
"identifier": "33188",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.