PATTERSON BEHAVIORAL HEALTH LLC
NPI 1265236020
Psychologist - Clinical in Ponte Vedra, FL

Q: What is Patterson Behavioral Health LLC's NPI number?

The NPI number for Patterson Behavioral Health LLC is 1265236020. It was assigned to this organization in the NPPES registry on April 2, 2025.

Q: What is Patterson Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since April 02, 2025

90 FORT WADE RD STE 100, PONTE VEDRA, FL 32081(904) 351-6342 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, Feb 6, 2026, Jan 6, 2026 and 1 more (4 updates tracked since 2025).

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About Patterson Behavioral Health Llc NPPES

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

PATTERSON BEHAVIORAL HEALTH LLC (NPI 1265236020) is a healthcare organization registered as a clinical in Ponte Vedra, Florida and active in the NPI registry since April 2025. The organization lists De'von Patterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1265236020

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePATTERSON BEHAVIORAL HEALTH LLC

Location Address90 FORT WADE RD STE 100Ponte Vedra, FL 32081-5114

Mailing Address10700 Beach Blvd Unit 17254Jacksonville, FL 32245-8051 · (904) 351-6342

Phone(904) 351-6342

Organization SubpartNo

Authorized OfficialDe'von PattersonOwner · (904) 351-6342

Enumeration DateApril 2, 2025

Last NPPES UpdateApril 28, 20264 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1265236020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

90 FORT WADE RD STE 100, Ponte Vedra, FL 32081

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patterson Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Patterson Behavioral Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Devon Patterson, PHD

Clinical Psychologist

NPI 1326567587

90 FORT WADE RD STE 100
Ponte Vedra, FL 32081

(904) 351-6342

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Patterson Behavioral Health LLC's NPI number?

The NPI number for Patterson Behavioral Health LLC is 1265236020. It was assigned to this organization in the NPPES registry on April 2, 2025.

Where is Patterson Behavioral Health LLC located?

Patterson Behavioral Health LLC is located at 90 Fort Wade Rd Ste 100, Ponte Vedra, FL 32081. The listed phone number is (904) 351-6342.

What is Patterson Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Patterson Behavioral Health LLC enrolled in Medicare?

Yes. Patterson Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patterson Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Patterson Behavioral Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Patterson Behavioral Health LLC was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.