Taxonomy Code 103T00000X(103t00000x)
Psychologist. Providers: 11

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Psychologist Providers

NPI Name Type Address

1760451637

DR. PHD Gregory Lee Garamoni

Individual

2304 Sawgrass Village Dr

Ponte Vedra Beach, FL

1336250083

PHD James November

Individual

4400 Marsh Landing Blvd

Suite 6

Ponte Vedra Beach, FL

1083088165

Dr Fairall And Associates Behavioral Health And Family Mediation Servi

Organization

4400 Marsh Landing Blvd

Suite 1

Ponte Vedra Beach, FL

1497262620

Mandala Family Wellness Llc

Organization

171 Canal Blvd

Ponte Vedra Beach, FL

1487768248

PSY.D. Laurie S. Fairall-rueter

Individual

4400 Marsh Landing Blvd

Suite 1

Ponte Vedra Beach, FL

1831365154

Keystone Behavioral Pediatrics, Llc

Organization

172 Canal Blvd

Ponte Vedra Beach, FL

1376939629

DR. PHD Lauren Frye

Individual

822 A1a N Ste 310

Ponte Vedra Beach, FL

1720739394

Susan O'connor Brown

Individual

168 Coastal Oak Cir

Ponte Vedra Beach, FL

1083360408

Keystone Behavioral Pediatrics, Llc

Organization

185 Landrum Ln Ste 100

Ponte Vedra Beach, FL

1962158386

Keystone Behavioral Pediatrics, Llc

Organization

171 Canal Blvd Ste 2

Ponte Vedra Beach, FL

1841637428

PSYCHOLOGIST Stephanie Backof Holmes Kinnare

Individual

400 Colonnade Dr Ste 200

Ponte Vedra Beach, FL

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Taxonomy Code 103T00000X
Display Name Psychologist
Taxonomy Group Behavioral Health & Social Service Providers
Taxonomy Classification Psychologist
Definition A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Effective Date September 30, 2009
Modification Date September 30, 2009
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Psychologist Codes

Addiction (Substance Use Disorder) Psychologist

103TA0400X • providers: 623

Adult Development & Aging Psychologist

103TA0700X • providers: 215

Clinical Child & Adolescent Psychologist

103TC2200X • providers: 4,646

Clinical Psychologist

103TC0700X • providers: 71,522

Cognitive & Behavioral Psychologist

103TB0200X • providers: 2,097

Counseling Psychologist

103TC1900X • providers: 7,770

Deactivated - Psychologist

103TE1000X • providers: 0

Deactivated - Psychologist Men & Masculinity

103TM1700X • providers: 0

Deactivated - Psychologist Psychotherapy

103TP2700X • providers: 0

Deactivated - Psychotherapy Women

103TW0100X • providers: 0

Exercise & Sports Psychologist

103TE1100X • providers: 92

Family Psychologist

103TF0000X • providers: 337

Forensic Psychologist

103TF0200X • providers: 765

Group Psychotherapy Psychologist

103TP2701X • providers: 552

Health Psychologist

103TH0004X • providers: 432

Health Service Psychologist

103TH0100X • providers: 828

Intellectual & Developmental Disabilities Psychologist

103TM1800X • providers: 886

Prescribing (Medical) Psychologist

103TP0016X • providers: 528

Psychoanalysis Psychologist

103TP0814X • providers: 325

Rehabilitation Psychologist

103TR0400X • providers: 714

School Psychologist

103TS0200X • providers: 8,926