CORAL GAFFNEY
Psychologist (Clinical)

Address: 6488 103rd St., Ste B, Jacksonville, FL 32210

CORAL GAFFNEY (NPI# 1457786915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457786915
Entity Type Individual
Full Name CORAL GAFFNEY
Gender Female
Practice Address 6488 103rd St., Ste B
Jacksonville
FL 32210
Practice Telephone 9044506810
Practice Fax Number 9044506729
Mailing Address 4205 Belfort Rd Ste 4015
Jacksonville
FL 32216-3623
Enumeration Date 2013-09-03
Last Update Date 2018-08-22
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY10198 FL Behavioral Health & Social Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Physician Overview

PECOS Associate Control (PAC) ID 8729331889
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20181019001532
Last Name GAFFNEY
First Name CORAL
Organization Legal Name ST VINCENT'S AMBULATORY CARE INC
Location 6488 103rd St, Suite B, Jacksonville, FL 32210-7161
Phone Number 9044506810
Graduation Year 2016
Primary Specialty PSYCHOLOGIST, CLINICAL
Group Practice PAC ID 2860411188
Number of Group Practice Members 324

Office Location

Street Address 6488 103RD ST., STE B
City JACKSONVILLE
State FL
Zip Code 32210

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy 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.
Notes: Source: American Psychological Association, www.apa.org [1/1/2019: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336740224 North Florida Collaborative Therapy 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 2020-11-05
1306456058 Southern Oregon Cbt LLC 690 G St Ste C, Jacksonville, OR 97530-3208 2020-08-07
1013408004 Marisa Victoria Byles 12443 San Jose Blvd Ste 202, Jacksonville, FL 32223-8648 2018-05-24
1306203245 Robin Jones 200 Valencia Dr Ste 194, Jacksonville, NC 28546-6311 2016-01-22
1336510452 Nour Mahmoud Abdelghani 524 Skymarks Dr Unit 5, Jacksonville, FL 32218-7254 2015-10-15
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1629406400 Max Aaron Horovitz 10475 Centurion Pkwy N Ste 301, Jacksonville, FL 32256-5004 2013-10-14
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1326483017 Amy Melinda Hartley · Amy Melinda Hartley-Jesseman 8355 Merchants Gate Dr, Jacksonville, FL 32222-5848 2013-05-08
1790040020 Maria R. Tapia 7680 Smullian Trail West, Jacksonville, FL 32217 2012-07-12
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.