| Patterson Behavioral Health Llc | |
|
90 Fort Wade Rd Ste 100 Ponte Vedra FL 32081-5114 | |
| (904) 951-6342 | |
| Not Available |
| Full Name | Patterson Behavioral Health Llc |
|---|---|
| Speciality | Psychologist |
| Location | 90 Fort Wade Rd Ste 100, Ponte Vedra, Florida |
| Authorized Official Name and Position | De'von Patterson (OWNER) |
| Authorized Official Contact | 9043516342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patterson Behavioral Health Llc 10700 Beach Blvd Unit 17254 Jacksonville FL 32245-8051 Ph: (904) 351-6342 | Patterson Behavioral Health Llc 90 Fort Wade Rd Ste 100 Ponte Vedra FL 32081-5114 Ph: (904) 951-6342 |
| NPI Number | 1265236020 |
|---|---|
| Provider Enumeration Date | 04/02/2025 |
| Last Update Date | 10/22/2025 |
| Certification Date | 10/22/2025 |
| Medicare PECOS PAC ID | 5991220998 |
|---|---|
| Medicare Enrollment ID | O20250423000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265236020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Devon Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326567587 PECOS PAC ID: 3274892419 Enrollment ID: I20180117000697 |
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