MINOR CHAMBLIN PH.D
NPI 1124175815
Psychologist in Orange Park, FL

Active since January 04, 2007
1543 KINGSLEY AVE, SUITE 18A, ORANGE PARK, FL 32073(904) 269-3324(904) 264-2302 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Psychologist

About MINOR CHAMBLIN

This page provides the complete NPI Profile along with additional information for Minor Chamblin, a provider established in Orange Park, Florida with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1124175815 assigned on January 2007. The practitioner's primary taxonomy code is 103T00000X with license number PY 3646 (FL). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1124175815 Verify this NPI
Provider Name
MINOR CHAMBLIN PH.D
Gender
Male
Entity Type
Individual
Location Address
1543 KINGSLEY AVE SUITE 18A ORANGE PARK, FL 32073
Location Phone
(904) 269-3324
Location Fax
(904) 264-2302
Mailing Address
1543 KINGSLEY AVE ORANGE PARK, FL 32073
Mailing Phone
(904) 269-3324
Mailing Fax
(904) 264-2302
Is Sole Proprietor?
No
Enumeration Date
01-04-2007
Last Update Date
12-17-2019
Code Navigator

A psychologist like Minor Chamblin studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
PY 3646
License State
FL
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
73837OTHER (01)FLBCBS

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
1543 KINGSLEY AVE, BUILDING 16
ORANGE PARK, FL 32073
Social Worker (Clinical)
1543 KINGSLEY AVE, BLDG 14
ORANGE PARK, FL 32073
Counselor (Mental Health)
1543 KINGSLEY AVE, BLDG 14
ORANGE PARK, FL 32073
Counselor (Mental Health)
1543 KINGSLEY AVE, BLDG 14
ORANGE PARK, FL 32073
Registered Nurse
1543 KINGSLEY AVE, BLDG 14
ORANGE PARK, FL 32073
Emergency Medicine
1543 KINGSLEY AVE
ORANGE PARK, FL 32073
Pediatrics
1543 KINGSLEY AVE, BLDG 9
ORANGE PARK, FL 32073
Psychologist
1543 KINGSLEY AVE, SUITE 18A
ORANGE PARK, FL 32073
Counselor (Mental Health)
1543 KINGSLEY AVE, SUITE 18A
ORANGE PARK, FL 32073
Marriage & Family Therapist
1543 KINGSLEY AVE, SUITE 18A
ORANGE PARK, FL 32073
Counselor (Mental Health)
1543 KINGSLEY AVE, SUITE 18A
ORANGE PARK, FL 32073
Counselor (Mental Health)
1543 KINGSLEY AVE, SUITE 18A
ORANGE PARK, FL 32073
Counselor (Mental Health)
1543 KINGSLEY AVE, SUITE 18A
ORANGE PARK, FL 32073
Internal Medicine
1543 KINGSLEY AVE, BLDG.12
ORANGE PARK, FL 32073
Pain Medicine (Pain Medicine)
1543 KINGSLEY AVE, BLDG 3
ORANGE PARK, FL 32073
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1543 KINGSLEY AVE, SUITE 6
ORANGE PARK, FL 32073
Counselor (Mental Health)
1543 KINGSLEY AVE, SUITE 6
ORANGE PARK, FL 32073
Chiropractor
1543 KINGSLEY AVE, BUILDING 3
ORANGE PARK, FL 32073
Chiropractor
1543 KINGSLEY AVE, BUILDING 3
ORANGE PARK, FL 32073
Psychologist (Clinical)
1543 KINGSLEY AVE, SUITE 18 A
ORANGE PARK, FL 32073

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124175815, enumerated as an "individual" on January 04, 2007.

The provider is located at 1543 KINGSLEY AVE SUITE 18A ORANGE PARK, FL 32073 and the phone number is (904) 269-3324.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.