Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619301199 Individual Practitioner Female Practitioner

Dr. Dawn Olivia Witherspoon , PhD

Psychologist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Dawn Witherspoon, PhD is a registered healthcare professional specializing in Psychologist in Jacksonville, FL. Practice services are available at 6266 DUPONT STATION CT E under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6266 Dupont Station Ct E

Jacksonville, FL 322172567

Telephone 9043831038
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
89 Specialists

Practicing in Jacksonville, FL (2327 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
17.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90832 Psychotherapy, 30 minutes
74 12 $100.00 $73.98
90834 Psychotherapy, 45 minutes
48 13 $115.00 $97.97
90791 Psychiatric diagnostic evaluation
21 21 $200.00 $171.13

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License FL PY 8828

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
009650900 (FL)

Practice Associates & Co-Workers

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

20 Associated Practitioners
Christina Sigmon , PA-C

Physician Assistant

NPI 1013433432

Physician Assistant (Certified)

Jekeva Moss , MSN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154817302

Master of Science in Nursing, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Christopher Calandro , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1265675789

Advanced Registered Nurse Practitioner

Dr. Elise Fallucco , MD

Psychiatry & Neurology - Psychiatry

NPI 1336235043

Doctor of Medicine (M.D.)

Matthew Gauntlett , LMHC

Counselor - Mental Health

NPI 1346512522

Licensed Mental Health Counselor

Dr. Tyler Martinez , DO

Student in an Organized Health Care Education/Training Program

NPI 1376225821

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 05, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2013

Registered at 6266 DUPONT STATION CT E, JACKSONVILLE, FL 322172567 (Tel: 9043831038)

📍
Updated Business Mailing Address November 05, 2013

Registered at 6266 DUPONT STATION COURT, JACKSONVILLE, FL 32217

👤
Provider Name / Credentials Updated November 05, 2013

Recorded as DAWN WITHERSPOON, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2013

Psychologist (License #PY 8828 in FL)

🟢
Initial NPI Registration & Enumeration September 03, 2013

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: 1619301199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2013
Last Update: November 05, 2013
Sole Proprietor: No

Mailing Address

6266 Dupont Station Court

Jacksonville, FL 32217

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.