DR. MICHAEL E. DOMERY PSY.D.
NPI 1629301254
Psychologist - Clinical in Jacksonville, FL

Active since September 15, 2009
2080 CHILD ST, JACKSONVILLE, FL 32214(518) 557-3493 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Psychologist
  • Clinical

About MICHAEL DOMERY

This page provides the complete NPI Profile along with additional information for Michael Domery, a provider established in Jacksonville, Florida with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1629301254 assigned on September 2009. The practitioner's primary taxonomy code is 103TC0700X with license number 017941 (NY). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1629301254 Verify this NPI
Provider Name
DR. MICHAEL E. DOMERY PSY.D.
Gender
Male
Entity Type
Individual
Location Address
2080 CHILD ST JACKSONVILLE, FL 32214
Location Phone
(518) 557-3493
Mailing Address
2080 CHILD ST JACKSONVILLE, FL 32214
Mailing Phone
(518) 557-3493
Is Sole Proprietor?
Yes
Enumeration Date
09-15-2009
Last Update Date
03-26-2025
Code Navigator

A clinical psychologist like Michael Domery assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help 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 Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
017941
License State
NY
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

017941 (NY)

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Nurse Practitioner (Family)
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Psychiatry & Neurology (Neurology)
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Internal Medicine
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Family Medicine
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Family Medicine
2080 CHILD ST
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Radiology (Diagnostic Radiology)
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Psychologist (Clinical)
2080 CHILD ST
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Dentist (General Practice)
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Optometrist
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Obstetrics & Gynecology
2080 CHILD ST
JACKSONVILLE, FL 32214
Optometrist
2080 CHILD ST
JACKSONVILLE, FL 32214
Dentist (General Practice)
2080 CHILD ST
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Surgery
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JACKSONVILLE, FL 32214
Physician Assistant (Medical)
2080 CHILD ST
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Dietitian, Registered
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629301254, enumerated as an "individual" on September 15, 2009.

The provider is located at 2080 CHILD ST JACKSONVILLE, FL 32214 and the phone number is (518) 557-3493.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.