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: August 09, 2026.

About Minor Chamblin Ph.d NPPES

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

MINOR CHAMBLIN PH.D (NPI 1124175815) is an individual psychologist in Orange Park, Florida, licensed in Florida (PY 3646) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1124175815
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMINOR CHAMBLINCredential: PH.D
Location Address1543 KINGSLEY AVE, SUITE 18AOrange Park, FL 32073-4535
Mailing Address1543 Kingsley AveOrange Park, FL 32073-4535 · (904) 269-3324 · Fax (904) 264-2302
Fax(904) 264-2302
Sole ProprietorNo
Enumeration DateJanuary 4, 2007
Last NPPES UpdateDecember 17, 2019
NPI 1124175815 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 3646
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.
1543 KINGSLEY AVE, Orange Park, FL 32073

Other Identifiers 1

Other73837FL · Bcbs

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
1543 KINGSLEY AVE, BLDG 14
ORANGE PARK, FL 32073
Pediatrics
1543 KINGSLEY AVE, BLDG 9
ORANGE PARK, FL 32073
Counselor (Mental Health)
1543 KINGSLEY AVE, SUITE 18A
ORANGE PARK, FL 32073
Counselor (Mental Health)
1543 KINGSLEY AVE, SUITE 6
ORANGE PARK, FL 32073
Counselor (Mental Health)
1543 KINGSLEY AVE, SUITE 18A
ORANGE PARK, FL 32073
Psychologist
1543 KINGSLEY AVE, SUITE 18A
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 NPPES & CMS

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

What is Minor Chamblin's NPI number?

The NPI number for Minor Chamblin is 1124175815. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Minor Chamblin located?

Minor Chamblin practices at 1543 Kingsley Ave Suite 18A, Orange Park, FL 32073. The listed phone number is (904) 269-3324.

What is Minor Chamblin'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 Minor Chamblin was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.