DR. MAUREEN TERESA DOUGHERTY PSY.D.
NPI 1811330608
Psychologist - Clinical in Jacksonville, FL

Q: What is Maureen Dougherty's NPI number?

The NPI number for Maureen Dougherty is 1811330608. It was assigned to this individual provider in the NPPES registry on April 10, 2013.

Q: What is Maureen Dougherty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maureen Dougherty was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 10, 2013PECOS Enrolled

1650 PRUDENTIAL DR STE 210, JACKSONVILLE, FL 32207(904) 376-3800 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2025, Jul 7, 2025, Jun 10, 2025 and 3 more (6 updates tracked since 2017).

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About Dr. Maureen Teresa Dougherty Psy.d. NPPES

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

DR. MAUREEN TERESA DOUGHERTY PSY.D. (NPI 1811330608) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (PY12492) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811330608

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MAUREEN TERESA DOUGHERTYCredential: PSY.D.

Location Address1650 PRUDENTIAL DR STE 210Jacksonville, FL 32207-8149

Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800

Phone(904) 376-3800

Sole ProprietorNo

Enumeration DateApril 10, 2013

Last NPPES UpdateAugust 4, 20256 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1811330608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in FL · PY12492✔ Licensed in IL · 071.00857

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.

1650 PRUDENTIAL DR STE 210, Jacksonville, FL 32207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maureen Teresa Dougherty Psy.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Maureen Dougherty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Behavioral Health, LLC

0.6 mi

Professional

841 PRUDENTIAL DR STE 1350
Jacksonville, FL 32207

Reassigned Medicare billing, Florida enrollment
176 clinicians in this Medicare group

NPI 1215906649 (904) 376-3800

Health Services Inc

294 mi

Federally Qualified Health Center (FQHC)

5422 STATE HIGHWAY 94
Ramer, AL 36069

Reassigned Medicare billing, Alabama enrollment
31 clinicians in this Medicare group

NPI 1932122652 (334) 562-3229

Pike Road Counseling, LLC

296 mi

Community/Behavioral Health

10519 VAUGHN RD
Pike Road, AL 36064

Reassigned Medicare billing, Alabama enrollment
5 clinicians in this Medicare group

NPI 1437681814 (334) 603-1427

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

DR. AYLIN SANER EMMERT M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)