JOHN WALTER PATRICK (PH.D.) – Clinical Psychologist, NPI 1720015274

Clinical Psychologist

JOHN WALTER PATRICK (PH.D.) is a healthcare provider. based in Port orange, Florida. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. They hold a License No. PY3313 (FL). The NPI Number for JOHN WALTER PATRICK (PH.D.) is 1720015274

Main info

Male

Sole Proprietor

Name

JOHN WALTER PATRICK (PH.D.)

NPI

1720015274

Phone

(386) 761-3101

Address

5911 RIVERSIDE DR

Enumeration Date

27 June 2006

Last Update Date

8 July 2007

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN WALTER PATRICK (PH.D.)

5911, Riverside Drive, Harbor Oaks, Port Orange, Volusia County, Florida, 32127, United States
PORT ORANGE, FL 321276445
Phone: (386) 761-3101
Type: Mailing
4643, South Clyde Morris Boulevard, Port Orange, Volusia County, Florida, 32129, United States
SUITE 306
PORT ORANGE, FL 321296000
Phone: (386) 761-3101
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 32127)

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Reviews

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Frequently asked questions

How is JOHN WALTER PATRICK (PH.D.) identified in CMS data?

CMS-hosted NPPES data lists JOHN WALTER PATRICK (PH.D.) with NPI 1720015274.

Is JOHN WALTER PATRICK (PH.D.) still practicing?

JOHN WALTER PATRICK (PH.D.) is currently listed as active in the public NPI registry.

What taxonomy line describes JOHN WALTER PATRICK (PH.D.)?

For research purposes, treat JOHN WALTER PATRICK (PH.D.) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.

What area does JOHN WALTER PATRICK (PH.D.) serve?

JOHN WALTER PATRICK (PH.D.)'s listing highlights Port Orange, Florida; more addresses can appear in NPPES.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.