DEVON PATTERSON (PHD) – Clinical Psychologist, NPI 1326567587

DEVON PATTERSON (PHD) is a healthcare provider. based in Jacksonville, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PY9935 (FL). The NPI Number for DEVON PATTERSON (PHD) is 1326567587

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DEVON PATTERSON (PHD)
NPI
1326567587
Phone
(904) 351-6342
Address
10700 BEACH BLVD UNIT 17254
Enumeration Date
19 September 2017
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043516342
Graduation Year
2016 (10 years ago)
PAC ID
3274892419
Professional Enrollment ID
I20180117000697
Address ID
FL320815114PO90XXXRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DEVON PATTERSON (PHD)

  • 10700 BEACH BLVD UNIT 17254

    JACKSONVILLE, FL 322458051

    Phone: (904) 351-6342

    Type: Mailing

  • PO BOX 44230

    JACKSONVILLE, FL 322314230

    Phone: (904) 376-3800

    Fax: (904) 376-3998

    Type: Mailing

  • 1747 BAPTIST CLAY DR STE 1350

    FLEMING ISLAND, FL 320038502

    Phone: (904) 376-3800

    Fax: (904) 396-8977

    Type: Location

  • 90 FORT WADE RD STE 100

    PONTE VEDRA, FL 320815114

    Phone: (904) 351-6342

    Type: Location

  • PO BOX 748519

    ATLANTA, GA 303748519

    Phone: (904) 376-3800

    Fax: (904) 376-3998

    Type: Mailing

  • 1747 BAPTIST CLAY DR STE 350

    FLEMING ISLAND, FL 320038504

    Phone: (904) 376-3800

    Fax: (904) 396-8977

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180117000697IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32245)

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Reviews

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Frequently asked questions

Is there an official ID for DEVON PATTERSON (PHD) in U.S. healthcare records?
The official identifier for DEVON PATTERSON (PHD) is NPI 1326567587.
Is DEVON PATTERSON (PHD) still an active registrant?
DEVON PATTERSON (PHD) carries an active NPI according to the public dataset.
How would a patient describe DEVON PATTERSON (PHD)'s focus?
For DEVON PATTERSON (PHD), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DEVON PATTERSON (PHD)?
Directory geography for DEVON PATTERSON (PHD) centers on Jacksonville, Florida.
Does DEVON PATTERSON (PHD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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