Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Blackmon, PHD

Individual provider Clinical Psychologist · NPI 1144338211

David Blackmon, PHD is a Clinical Psychologist in Ponte Vedra Beach, Florida. Qualified in 1989, 37 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
37
Licensed in
FL
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

330 A1A N Ste 325
Ponte Vedra Beach, FL 32082-1826
Phone: (904) 333-3389
Fax: (904) 713-2989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY0004360 (FL)

Record details

NPI number1144338211
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 28, 2006
Last updated in NPPESOctober 10, 2013
Mailing address330 A1a N Ste 325, Ponte Vedra Beach, FL 32082-1826

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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