North Florida Psychotherapy

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NORTH FLORIDA PSYCHOTHERAPY

Practice address

4016 3Rd St S Ste 1159
Jacksonville Beach, FL 32250-5848

Phone

(904) 373-8328

NPI assigned

Jan 15, 2024

Organization subpart

No

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

Authorized official

Name

Kristen Kelley, PSY D

Title

Owner

Phone

(904) 373-8328

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1992576284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 3RD ST S STE 1159",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505848",
            "telephone_number": "904-373-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 3RD ST S STE 1159",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505848",
            "telephone_number": "904-373-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-373-8328",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Wesson Nields, M.D.
• Mark Andrew Nielsen, MD
• Thomas Norman
• North Florida Imaging Centers
• North Florida Medical Clinic Inc
• Northeast Florida Eye Care Associates
• Northeast Florida Lung Clinic
• Northland Hearing Centers, Inc.
• Samantha Nowakowski
• Michelle Nunes Caravaglio, MD

• All providers in Jacksonville Beach, FL
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.