Psychological Services Of St. Augustine

LBN: Psychological Services Of St. Augustine
Psychological Services Of St. Augustine is an health care organization with primary practice located at 1100 S Ponce De Leon Blvd Ste 1 , St Augustine FL 32084-6013. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Psychological Services Of St. Augustine can be contacted via phone (904) 824-7733, or through Merwin, Jack via phone (904) 824-7733.

Contact Information

Primary practice address
1100 S Ponce De Leon Blvd Ste 1 St Augustine FL 32084-6013
Phone: (904) 824-7733
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Merwin, Jack PHD.
Phone: (904) 824-7733

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PY2444 Florida
Behavioral Health & Social Service Providers / Forensic 103TF0200X PY2444 Florida

Profile Details

NPI number 1952451775
LBN Legal business name Psychological Services Of St. Augustine
DBA Doing business as
Authorized official Merwin, Jack PHD.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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