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JANICE WACHTEL, PHD, LLC
NPI 1811308901
Psychologist - Clinical in Ponte Vedra Beach, FL

Active since May 12, 2014
100 EXECUTIVE WAY,, SUITE 110, PONTE VEDRA BEACH, FL 32082(904) 834-2235(904) 834-3520 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Janice Wachtel, Phd, Llc NPPES

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

JANICE WACHTEL, PHD, LLC (NPI 1811308901) is a healthcare organization registered as a clinical in Ponte Vedra Beach, Florida and active in the NPI registry since May 2014. The organization lists Janice Wachtel, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1811308901
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJANICE WACHTEL, PHD, LLC
Location Address100 EXECUTIVE WAY,, SUITE 110Ponte Vedra Beach, FL 32082
Mailing Address100 Executive Way,, Suite 110Ponte Vedra Beach, FL 32082 · (904) 834-2235 · Fax (904) 834-3520
Phone(904) 834-2235
Fax(904) 834-3520
Organization SubpartNo
Authorized OfficialJanice WachtelPsychologist · (904) 834-2235
Enumeration DateMay 12, 2014
Last NPPES UpdateJuly 22, 2016
✔ NPI 1811308901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · P40005827
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.
100 EXECUTIVE WAY,, Ponte Vedra Beach, FL 32082
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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

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 Janice Wachtel, Phd, LLC's NPI number?

The NPI number for Janice Wachtel, Phd, LLC is 1811308901. It was assigned to this organization in the NPPES registry on May 12, 2014.

Where is Janice Wachtel, Phd, LLC located?

Janice Wachtel, Phd, LLC is located at 100 Executive Way, Suite 110, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 834-2235.

What is Janice Wachtel, Phd, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Janice Wachtel, Phd, LLC was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.