PSYCHOLOGICAL SERVICES OF ST. AUGUSTINE NPI 1952451775

NPI Information

  • NPI: 1952451775
  • Provider Name: PSYCHOLOGICAL SERVICES OF ST. AUGUSTINE
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1100 S PONCE DE LEON BLVD STE 1
    ST AUGUSTINE, FL
    ZIP 32084
  • Phone: (904) 824-7733

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NPI Details

PSYCHOLOGICAL SERVICES OF ST. AUGUSTINE is a mental health counselor in St Augustine, FL. PSYCHOLOGICAL SERVICES OF ST. AUGUSTINE NPI is 1952451775. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1100 S PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL
ZIP 32084-013
Phone: (904) 824-7733

The provider's authorized official is Jack Merwin .
The authorized official title is Owner and has the following contact phone number (904) 824-7733.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 8/22/2020.

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
1101YM0800XCounselorMental HealthPY2444FLORIDAYes
2103TF0200XPsychologistForensicPY2444FLORIDAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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