Clinical & Health Psychology
NPI 1578751384ActiveOrganization· Psychologist, Clinical· Jacksonville, FL
Psychologist, Clinical in Jacksonville, Florida, registered in NPPES in October 2007. The authorized official on file is Frank Gerard Stanley, PH.D., Ceo.
Overview
| NPI | 1578751384 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 5, 2007 |
| Last updated in NPPES | May 18, 2021 |
| Certified by provider | May 18, 2021 |
| Reactivated | May 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PY3949 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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