JANICE WACHTEL PHD LLC NPI 1811308901

NPI Information

  • NPI: 1811308901
  • Provider Name: JANICE WACHTEL, PHD, LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 100 EXECUTIVE WAY,
    SUITE 110
    PONTE VEDRA BEACH, FL
    ZIP 32082
  • Phone: (904) 834-2235

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NPI Details

JANICE WACHTEL, PHD, LLC is a clinical psychologist in Ponte Vedra Beach, FL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. JANICE WACHTEL, PHD, LLC NPI is 1811308901. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 EXECUTIVE WAY,
SUITE 110
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (904) 834-2235
Fax: (904) 834-3520

The provider's authorized official is Janice Wachtel .
The authorized official title is Psychologist and has the following contact phone number (904) 834-2235.

The enumeration date for this NPI number is 5/12/2014 and was last updated on 7/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalP40005827FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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