NPIMap

Organization Active NPI

Psychoeducational Consultant Group

  • School Psychologist
  • Jacksonville, FL
National Provider Identifier
1831510304
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS873 Issued in FL
Legal business name
PSYCHOEDUCATIONAL CONSULTANT GROUP
Practice address
4745 Sutton Park CT
Suite 802
Jacksonville, FL 32224-0250
Phone
(904) 874-6164
NPI assigned
Dec 30, 2013
Last updated
Dec 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Patrick Edward Hughes, ED.S.
Title
School Psychologist
Phone
(904) 874-6164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SS873 FL Primary

Addresses

Primary practice location

4745 Sutton Park CT
Suite 802
Jacksonville, FL 32224-0250

Mailing address

4745 Sutton Park CT
Suite 802
Jacksonville, FL 32224-0250
Phone (904) 874-6164

National Provider Directory

National Provider Directory

Locations

4745 Sutton Park Ct
Ste 802
Jacksonville, FL 32224
Phone (904) 269-1774

NPI Registry JSON

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1831510304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 SUTTON PARK CT",
            "address_2": "SUITE 802",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240250",
            "telephone_number": "904-874-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 SUTTON PARK CT",
            "address_2": "SUITE 802",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240250",
            "telephone_number": "904-874-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOEDUCATIONAL CONSULTANT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "SCHOOL PSYCHOLOGIST",
        "authorized_official_telephone_number": "904-874-6164",
        "authorized_official_credential": "ED.S."
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS873",
            "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 Dec 30, 2013; 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.