DR. DAWN OLIVIA WITHERSPOON PHD
NPI 1619301199
Psychologist in Jacksonville, FL

Active since September 03, 2013PECOS Enrolled
6266 DUPONT STATION CT E, JACKSONVILLE, FL 32217(904) 383-1038 Get Directions Write a Review

NPPES record last updated: November 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dawn Olivia Witherspoon Phd NPPES

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

DR. DAWN OLIVIA WITHERSPOON PHD (NPI 1619301199) is an individual psychologist in Jacksonville, Florida, licensed in Florida (PY 8828) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619301199
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. DAWN OLIVIA WITHERSPOONCredential: PHD
Location Address6266 DUPONT STATION CT EJacksonville, FL 32217-2567
Mailing Address6266 Dupont Station CourtJacksonville, FL 32217
Sole ProprietorNo
Enumeration DateSeptember 3, 2013
Last NPPES UpdateNovember 5, 2013
NPI 1619301199 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 8828
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.
6266 DUPONT STATION CT E, Jacksonville, FL 32217

Other Identifiers 2

Medicaid009650900FL
Medicare PINHO747ZFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Dawn Olivia Witherspoon Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 18

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

Counselor (Mental Health)
6266 DUPONT STATION CT E
JACKSONVILLE, FL 32217
Counselor (Mental Health)
6266 DUPONT STATION CT E
JACKSONVILLE, FL 32217
Counselor (Mental Health)
6266 DUPONT STATION CT E
JACKSONVILLE, FL 32217
Counselor (Mental Health)
6266 DUPONT STATION CT E
JACKSONVILLE, FL 32217
Counselor (Mental Health)
6266 DUPONT STATION CT E
JACKSONVILLE, FL 32217
Counselor (Mental Health)
6266 DUPONT STATION CT E
JACKSONVILLE, FL 32217
Counselor (Mental Health)
6266 DUPONT STATION CT E
JACKSONVILLE, FL 32217
Counselor (Mental Health)
6266 DUPONT STATION CT E, UFJAX - DEPT. OF PSYCHIATRY
JACKSONVILLE, FL 32217

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 Dawn Witherspoon's NPI number?

The NPI number for Dawn Witherspoon is 1619301199. It was assigned to this individual provider in the NPPES registry on September 3, 2013.

Where is Dawn Witherspoon located?

Dawn Witherspoon practices at 6266 Dupont Station Ct E, Jacksonville, FL 32217. The listed phone number is (904) 383-1038.

What is Dawn Witherspoon's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Dawn Witherspoon enrolled in Medicare?

Yes. Dawn Witherspoon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dawn Witherspoon was last updated on November 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.