325 MDG
NPI 1568436962
Psychologist in Tyndall Afb, FL

Active since February 14, 2006
325 MDG BLDG, 1305 SUWANNEE AVE, TYNDALL AFB, FL 32403(850) 283-7511(850) 283-7721 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 325 Mdg NPPES

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

325 MDG (NPI 1568436962) is a healthcare organization registered as a psychologist in Tyndall Afb, Florida and active in the NPI registry since February 2006. The organization lists George Nicholas, 325 Mdg Commander, as its authorized official.

NPPES Registry Identity

NPI1568436962
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business Name325 MDG
Location Address325 MDG BLDG, 1305 SUWANNEE AVETyndall Afb, FL 32403
Mailing Address2405 Maple CtPanama City, FL 32404-3047 · (850) 283-7511 · Fax (850) 283-7721
Fax(850) 283-7721
Organization SubpartNo
Authorized OfficialGeorge Nicholas325 Mdg Commander · (850) 283-7515
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJune 13, 2008
NPI 1568436962 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 · PY5848
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.
325 MDG BLDG, Tyndall Afb, FL 32403

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 325 Mdg's NPI number?

The NPI number for 325 Mdg is 1568436962. It was assigned to this organization in the NPPES registry on February 14, 2006.

Where is 325 Mdg located?

325 Mdg is located at 325 Mdg Bldg 1305 Suwannee Ave, Tyndall Afb, FL 32403. The listed phone number is (850) 283-7511.

What is 325 Mdg'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 325 Mdg was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.