Ernest Paul Bicknell III, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4456 Issued in FL

Practice address

1890 S 14TH St
Suite 306
Fernandina Beach, FL 32034-4740

Phone

(904) 432-7833

Fax

(904) 432-7831

NPI assigned

Nov 8, 2006

Last updated

Jul 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Sylvia M Bicknell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amelia Psychological Services, LLC

  • Clinical Psychologist
  • Fernandina Beach, FL
  • NPI 1174955207
  Authorized official Same address or phone
• William L Ross

  dba Amelia Psychological Services

  • Marriage & Family Therapist
  • Fernandina Beach, FL
  • NPI 1083834246
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1972672293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 S 14TH ST",
            "address_2": "SUITE 306",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344740",
            "telephone_number": "904-432-7833",
            "fax_number": "904-432-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 S 14TH ST",
            "address_2": "SUITE 306",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344740",
            "telephone_number": "904-432-7833",
            "fax_number": "904-432-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKNELL",
        "first_name": "ERNEST",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYLVIA",
            "last_name": "BICKNELL",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "CFO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Benjamin N. Diller, DDS, PA
• Scott R Bergquist
• Joshua R Beyl
• Beyond the Couch, LLC
• Kimberly H Bibb, APRN
• Joshua Owen Bietenholz, D.M.D.
• Bio-Medical Applications of Florida, Inc. (Fresenius Kidney Care Amelia Island Dialysis)
• Anna Rene' Morris Blackshear, LMHC
• Jeffrey W Blake, MD
• William Stephen Bledsoe, PHARMD

• Clinical Psychologist in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.