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Dr. Stacey Davis , PhD

Psychologist - Clinical β€’ St Augustine, FL

Active NPI 1134397128 Individual Practitioner Female Practitioner
Practice location in NPPES

403 Anastasia Blvd
St Augustine, FL 320804508

Call 9048341366 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

403 Anastasia Blvd

St Augustine, FL 320804508

Telephone 9048341366
Organization at the Same NPPES Address or Phone
Debbie's Day Spa & Salon Facility NPI 1013187574

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in St Augustine and Florida

14 active clinicians are listed under Psychologist - Clinical with a practice address in St Augustine, FL (2,985 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in St Augustine

28.6% of these 14 clinicians have the CMS telehealth indicator.

28.6% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-03
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

License # reported to NPPES FL PY7649

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 03, 2026

Registered at 403 ANASTASIA BLVD, ST AUGUSTINE, FL 320804508 (Tel: 9048341366)

πŸ“
Updated Business Mailing Address March 03, 2026

Registered at 307 TUMBLED STONE WAY, ST AUGUSTINE, FL 320860230 (Tel: 3528708173)

βœ…
NPI Profile Active February 13, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 13, 2008

Registered at 225 SW 7TH TER, GAINESVILLE, FL 326016459 (Tel: 3523792829)

πŸ“
Business Mailing Address (Initial Record) February 13, 2008

Registered at 225 SW 7TH TER, GAINESVILLE, FL 326016459 (Tel: 3523792829)

πŸ‘€
Provider Name / Credentials (Initial Record) February 13, 2008

Recorded as STACEY DAVIS, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2008

Psychologist (license number reported to NPPES: FL PY7649)

🟒
Initial NPI Registration & Enumeration February 13, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134397128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2008
Last Update: March 03, 2026
Sole Proprietor: Yes

Other Psychologist - Clinicals in St Augustine

Healthcare providers in St Augustine

Mailing Address

307 Tumbled Stone Way

St Augustine, FL 320860230

Phone: 3528708173

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.