Organization Active NPI

Coe Psychology, LLC

  • Clinical Psychologist
  • St Augustine, FL
National Provider Identifier
1740107770
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
COE PSYCHOLOGY, LLC
Practice address
416 Paseo Reyes Dr
St Augustine, FL 32095-8558
Phone
(919) 699-2077
NPI assigned
Jul 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Cara O'Connell-Edwards, PH.D.NPI 1730373317
Title
Sole Member
Phone
(919) 699-2077

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

416 Paseo Reyes Dr
St Augustine, FL 32095-8558

Mailing address

158 Cumberland Island Cir
Ponte Vedra, FL 32081-0721
Phone (919) 699-2077

National Provider Directory

National Provider Directory

Locations

416 Paseo Reyes Dr
St Augustine, FL 32095
Phone (904) 351-8136

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": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1740107770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CUMBERLAND ISLAND CIR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810721",
            "telephone_number": "919-699-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 PASEO REYES DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958558",
            "telephone_number": "919-699-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COE PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL-EDWARDS",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "919-699-2077",
        "authorized_official_credential": "PH.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 Jul 1, 2026; 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.