KEYSTONE BEHAVIORAL PEDIATRICS, LLC
NPI 1083360408
Psychologist in Ponte Vedra Beach, FL

Active since February 24, 2022
185 LANDRUM LN STE 100, PONTE VEDRA BEACH, FL 32082(904) 373-0082(904) 671-7377 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keystone Behavioral Pediatrics, Llc NPPES

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

KEYSTONE BEHAVIORAL PEDIATRICS, LLC (NPI 1083360408) is a healthcare organization registered as a psychologist in Ponte Vedra Beach, Florida and active in the NPI registry since February 2022. The organization lists Matthew Delaney, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1083360408
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameKEYSTONE BEHAVIORAL PEDIATRICS, LLC
Location Address185 LANDRUM LN STE 100Ponte Vedra Beach, FL 32082-3824
Mailing Address172 Canal BlvdPonte Vedra Beach, FL 32082-3606 · (904) 373-0082 · Fax (904) 671-7377
Fax(904) 671-7377
Organization SubpartNo
Authorized OfficialMatthew DelaneyChief Clinical Officer · (904) 373-0082
Enumeration DateFebruary 24, 2022
NPPES CertifiedFebruary 11, 2022
NPI 1083360408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
185 LANDRUM LN STE 100, Ponte Vedra Beach, FL 32082

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Keystone Behavioral Pediatrics, LLC's NPI number?

The NPI number for Keystone Behavioral Pediatrics, LLC is 1083360408. It was assigned to this organization in the NPPES registry on February 24, 2022.

Where is Keystone Behavioral Pediatrics, LLC located?

Keystone Behavioral Pediatrics, LLC is located at 185 Landrum Ln Ste 100, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 373-0082.

What is Keystone Behavioral Pediatrics, LLC'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 Keystone Behavioral Pediatrics, LLC was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.