DR FAIRALL AND ASSOCIATES BEHAVIORAL HEALTH AND FAMILY MEDIATION SERVI
NPI 1083088165
Psychologist in Ponte Vedra Beach, FL

Active since November 30, 2015
4400 MARSH LANDING BLVD, SUITE 1, PONTE VEDRA BEACH, FL 32082(904) 463-2284 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr Fairall And Associates Behavioral Health And Family Mediation Servi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR FAIRALL AND ASSOCIATES BEHAVIORAL HEALTH AND FAMILY MEDIATION SERVI (NPI 1083088165) is a healthcare organization registered as a psychologist in Ponte Vedra Beach, Florida and active in the NPI registry since November 2015. The organization lists Laurie Fairall, Owner, as its authorized official.

NPPES Registry Identity

NPI1083088165
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameDR FAIRALL AND ASSOCIATES BEHAVIORAL HEALTH AND FAMILY MEDIATION SERVI
Location Address4400 MARSH LANDING BLVD, SUITE 1Ponte Vedra Beach, FL 32082-7215
Mailing Address117 Old Mill CtPonte Vedra Beach, FL 32082-4133 · (904) 463-2284
Organization SubpartNo
Authorized OfficialLaurie FairallOwner · (904) 463-2284
Enumeration DateNovember 30, 2015
NPI 1083088165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY 7675
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.
4400 MARSH LANDING BLVD, Ponte Vedra Beach, FL 32082

Other Identifiers 1

Other264222586FL · Other Ein

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
4400 MARSH LANDING BLVD, SUITE 6
PONTE VEDRA BEACH, FL 32082
Social Worker (Clinical)
4400 MARSH LANDING BLVD, SUITE 6
PONTE VEDRA BEACH, FL 32082
Psychologist
4400 MARSH LANDING BLVD, SUITE 6
PONTE VEDRA BEACH, FL 32082
Psychologist
4400 MARSH LANDING BLVD, SUITE 1
PONTE VEDRA BEACH, FL 32082
Psychologist (Clinical)
4400 MARSH LANDING BLVD, SUITE 1
PONTE VEDRA BEACH, FL 32082
Psychologist (Clinical)
4400 MARSH LANDING BLVD, SUITE 6
PONTE VEDRA BEACH, FL 32082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Fairall And Associates Behavioral Health And Family Mediation Servi's NPI number?

The NPI number for Dr Fairall And Associates Behavioral Health And Family Mediation Servi is 1083088165. It was assigned to this organization in the NPPES registry on November 30, 2015.

Where is Dr Fairall And Associates Behavioral Health And Family Mediation Servi located?

Dr Fairall And Associates Behavioral Health And Family Mediation Servi is located at 4400 Marsh Landing Blvd Suite 1, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 463-2284.

What is Dr Fairall And Associates Behavioral Health And Family Mediation Servi's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Dr Fairall And Associates Behavioral Health And Family Mediation Servi was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.