Organization Active NPI

New Path Psychology Educational and Psychological Services

  • Psychologist
  • Jacksonville, FL
National Provider Identifier
1730574286
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7468 Issued in FL
Legal business name
NEW PATH PSYCHOLOGY EDUCATIONAL AND PSYCHOLOGICAL SERVICES
Doing business as
New Path Psychology
Practice address
6282 Dupont Station CT E Ste 2
Jacksonville, FL 32217-2515
Phone
(904) 900-3594
Fax
(904) 485-8760
NPI assigned
Apr 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Dr. Jessica Anderton, PSYD.
Title
Owner/Provider
Phone
(904) 900-3594

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X PY7468 FL Primary
Clinical Child & Adolescent PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC2200X

Addresses

Primary practice location

6282 Dupont Station CT E Ste 2
Jacksonville, FL 32217-2515

Mailing address

6320 Saint Augustine Rd Ste 6a
Jacksonville, FL 32217-2813
Phone (904) 900-3594

Other practice location 1

6817 Southpoint Pkwy
Ste 802
Jacksonville, FL 32216-6282
Phone (904) 900-3594

Other names 2

  • New Path Psychology Doing business as
  • New Path Psychology, PLLC Other name

National Provider Directory

National Provider Directory

Locations

6282 DuPont Station Ct E
Ste 2
Jacksonville, FL 32217
Phone (904) 614-4190

6320 Saint Augustine Rd
Ste 6A
Jacksonville, FL 32217
Phone (904) 800-4357

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1730574286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 SAINT AUGUSTINE RD STE 6A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172813",
            "telephone_number": "904-900-3594",
            "fax_number": "904-485-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6282 DUPONT STATION CT E STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172515",
            "telephone_number": "904-900-3594",
            "fax_number": "904-485-8760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6817 Southpoint Pkwy",
            "address_2": "STE 802",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322166282",
            "country_code": "US",
            "telephone_number": "904-900-3594",
            "fax_number": "904-485-8760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW PATH PSYCHOLOGY EDUCATIONAL AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "ANDERTON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "904-900-3594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7468",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Path Psychology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Path Psychology, PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "New Path Psychology, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 18, 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.