Active NPI
Ma. Teresa Garcia Tuason, PH.D.
- Counseling Psychologist
- Jacksonville, FL
National Provider Identifier
1679053441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PY7275
- Practice address
- 8823 San Jose Blvd
Jacksonville, FL 32217 - Phone
- (904) 638-8164
- NPI assigned
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7275 | FL | |
| Family Psychologist | 103TF0000X | PY7275 | FL | |
| Counseling Psychologist | 103TC1900X | PY7275 | FL | Primary |
Addresses
Primary practice location
8823 San Jose Blvd
Jacksonville, FL 32217
Mailing address
3109 Brettungar Dr
Jacksonville, FL 32246-5504
Phone (904) 888-0151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY7275 | FL | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1679053441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 BRETTUNGAR DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322465504",
"telephone_number": "904-888-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8823 SAN JOSE BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32217",
"telephone_number": "904-638-8164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUASON",
"first_name": "MA. TERESA",
"middle_name": "GARCIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7275",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": "FL",
"license": "PY7275",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "PY7275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.