DR. MARISA VICTORIA BYLES (NPI# 1013408004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013408004 |
Entity Type | Individual |
Full Name | DR. MARISA VICTORIA BYLES |
Credential | PSY.D. |
Practice Address |
12443 San Jose Blvd Ste 202 Jacksonville FL 32223-8648 |
Mailing Address |
11761 Lanier Creek Dr Jacksonville FL 32258-1261 |
Practice Telephone | 9045153503 |
Mailing Telephone | 9045401216 |
Enumeration Date | 2018-05-24 |
Last Update Date | 2018-05-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY9588 | FL | Behavioral Health & Social Service Providers |
Street Address |
12443 SAN JOSE BLVD STE 202 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32223-8648 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942846274 | Kristin Rispoli Counseling | Counselor | 12443 San Jose Blvd Ste 202, Jacksonville, FL 32223-8648 | 2019-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
1740694439 | Robyn K Mizelle | Behavioral Analyst | 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 | 2014-06-20 |
1184038010 | Kelli Anne Cabrera | Occupational Therapist | 12350 San Jose Blvd, Jacksonville, FL 32223 | 2014-06-18 |
1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
1114201811 | Darshana Choksi | Pharmacist | 3663 Marbon Rd, Jacksonville, FL 32223 | 2011-09-30 |
1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
1740517796 | Beth A. Kelley | Occupational Therapist | 2640 Scott Mill Dr, Jacksonville, FL 32223 | 2009-11-12 |
Find all providers in zip 32223 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
1306456058 | Southern Oregon Cbt LLC | Psychologist | 690 G St Ste C, Jacksonville, OR 97530-3208 | 2020-08-07 |
1306203245 | Robin Jones | Psychologist | 200 Valencia Dr Ste 194, Jacksonville, NC 28546-6311 | 2016-01-22 |
1336510452 | Nour Mahmoud Abdelghani | Psychologist | 524 Skymarks Dr Unit 5, Jacksonville, FL 32218-7254 | 2015-10-15 |
1295105823 | Mhealthcare Co. | Psychologist | 3805 Valencia Rd, Jacksonville, FL 32205-9271 | 2015-09-24 |
1629406400 | Max Aaron Horovitz | Psychologist | 10475 Centurion Pkwy N Ste 301, Jacksonville, FL 32256-5004 | 2013-10-14 |
1457786915 | Coral Gaffney | Psychologist | 6488 103rd St., Ste B, Jacksonville, FL 32210 | 2013-09-03 |
1801236542 | Jeffrey Allan Rommel | Psychologist | 11150 Castlemain Cir S, Jacksonville, FL 32256-4825 | 2013-06-26 |
1326483017 | Amy Melinda Hartley | Psychologist | 8355 Merchants Gate Dr, Jacksonville, FL 32222-5848 | 2013-05-08 |
1790040020 | Maria R. Tapia | Psychologist | 7680 Smullian Trail West, Jacksonville, FL 32217 | 2012-07-12 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32223 |
Please comment or provide details below to improve the information on DR. MARISA VICTORIA BYLES.
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.