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

Individual provider Psychologist · NPI 1629301254

Dr. Michael E. Domery, PSYD is a Psychologist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2080 Child St
Jacksonville, FL 32214-5005
Phone: (518) 557-3493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 017941 (NY)
Psychologist Taxonomy 103T00000X · Licence 017941 (NY)

Record details

NPI number1629301254
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 15, 2009
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address2080 Child St, Jacksonville, FL 32214-5005

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