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Deactivated NPI 1558657304 Deactivated / Inactive NPI Male Practitioner

Dr. Ronald James Daugherty , PsyD

Psychologist • Bay Pines, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ronald Daugherty has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 21, 2011
NPI Deactivation Date August 16, 2023
Total Practice Duration ~12 Years of Practice (2011 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Daugherty, PsyD was a registered Psychologist practicing in Bay Pines, FL. Throughout an active medical career spanning 12 years, Dr. Daugherty provided care at the practice location at 10000 BAY PINES BLVD until profile deactivation on 2023-08-16.

Practice Location & Contact Primary Location

Practice Address

10000 Bay Pines Blvd
Bldg 102 Rm D-185

Bay Pines, FL 337445005

Telephone 7273986661
Fax 7273989509
Associated Practice Facility / Clinic
🏢 Bay Pines Vamc Facility NPI 1376591396

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Bay Pines, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
17 Specialists

Practicing in Bay Pines, FL (2327 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License HI PSY 1249

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Robert Larson , LCSW

Social Worker - Clinical

NPI 1003078155

Licensed Clinical Social Worker

Daniel Philip

Psychologist - Counseling

NPI 1003137530
Alexan Johnson , LCSW

Social Worker - Clinical

NPI 1003404237

Licensed Clinical Social Worker

Lily Truong

Pharmacist

NPI 1003423419
Jenifer Elam-Harthcock , LMSW

Social Worker - Clinical

NPI 1003429226

Licensed Master Social Worker

Dr. Emily Mcmullen , DPM

Student in an Organized Health Care Education/Training Program

NPI 1003610338

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 16, 2023

Record deactivated on August 16, 2023

NPI Profile Active June 21, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 21, 2011

Registered at 10000 BAY PINES BLVD, BLDG 102 RM D-185, BAY PINES, FL 337445005 (Tel: 7273986661)

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Updated Business Mailing Address June 21, 2011

Registered at P.O. BOX 5005, 10000 BAY PINES BLVD (116) BLDG 102 RM D-185, BAY PINES, FL 337445005 (Tel: 7273986661)

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Provider Name / Credentials Updated June 21, 2011

Recorded as RONALD DAUGHERTY, PSY.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2011

Psychologist (License #PSY 1249 in HI)

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Initial NPI Registration & Enumeration June 21, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558657304
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2011
Last Update: June 21, 2011
Deactivation Date: August 16, 2023

Mailing Address

P.o. Box 5005, 10000 Bay Pines Blvd (116) Bldg 102 Rm D-185

Bay Pines, FL 337445005

Phone: 7273986661

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.