NPPES file of Aug 9, 2026

David Blackmon, PH.D.

Clinical Psychologist · Ponte Vedra Beach, FL

David Blackmon, PH.D. is a clinical psychologist with a practice address in Ponte Vedra Beach, Florida, and NPI 1144338211, issued on Aug 28, 2006. Check the license (Florida PY0004360, as entered in NPPES) on the Florida health license search; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1144338211
Name
David Blackmon
Credential
PH.D.
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
PY0004360 FL
Self-reported in NPPES; status is on the state search
Practice location
330 A1A N Ste 325, Ponte Vedra Beach, FL 32082
Phone
(904) 333-3389
Enumerated
Aug 28, 2006
Record last updated
Oct 10, 2013 (not updated in 13 years: call before relying on the address or phone)
Fax
(904) 713-2989
Medicare enrollment
Enrolled (PECOS I20120113000658); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify David Blackmon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license PY0004360
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

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David Blackmon among 2,980 clinical psychologist records in Florida

David Blackmon, PH.D. is one of 2,980 clinical psychologist records with a practice address in Florida. 14% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 3% of them.

  • NPI issued2006 · 3% of these records are older, 74% newer
  • In a Medicare fileNo · 14% of these records are
  • In the CMS Doctors and Clinicians fileYes · 26% of these records are
  • Graduated1989 · median 2004 among the 773 with a school on file
  • Record last updated2013 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

10 clinical psychologist records list a practice address in Ponte Vedra Beach

They are 10 of the 474 NPPES records with a practice address in Ponte Vedra Beach, and 2,980 clinical psychologist records in Florida. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 clinical psychologist records with the nearest ZIP codes

  1. Lee Annotti, PH.D.Ponte Vedra, FL 320821114354586
  2. Susan BrownPonte Vedra Beach, FL 320821720739394
  3. David Harvey, PHDPonte Vedra Beach, FL 320821922052257
  4. Naomi Jacobs, PH.D.Ponte Vedra Beach, FL 320821275641110
  5. Nancy Thomas, PHDPonte Vedra, FL 320821750467833
  6. Janice Wachtel, PH.D.Ponte Vedra Beach, FL 320821134235641
  7. Bambi Wadelton, PLHDPonte Vedra Beach, FL 320821083764039
  8. Kathryn Fleming Hanson, PSY.D.Ponte Vedra, FL 320811558740068

Common questions

What is David Blackmon, PH.D.'s NPI number?

David Blackmon, PH.D.'s National Provider Identifier (NPI) is 1144338211, issued on Aug 28, 2006. An NPI identifies a provider in billing; it is not a license.

Where is David Blackmon, PH.D. located?

The NPPES record lists a practice address at 330 A1A N Ste 325, Ponte Vedra Beach, FL, 32082. Phone: (904) 333-3389. Providers update this record themselves, so call before visiting.

How can I verify David Blackmon, PH.D.'s license?

NPPES lists Florida license number PY0004360, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.