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Minor Chamblin, PH.D
NPI 1124175815 · Psychologist · Orange Park, FL
Minor Chamblin, PH.D is a Psychologist provider in Orange Park, FL (NPI 1124175815).
Provider details
- NPI number
- 1124175815
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D
- Sex
- Male
- Sole proprietor
- No
- License
- PY 3646 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1543 Kingsley Ave
Suite 18a
Orange Park, FL 32073-4535
Phone: (904) 269-3324
Fax: (904) 264-2302
Street-level locationGet directions
Mailing address
1543 Kingsley Ave
Orange Park, FL 32073-4535
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2019-12-17
- Certified
- 2019-12-17
Frequently asked questions
- What is Minor Chamblin's NPI number?
- Minor Chamblin's National Provider Identifier (NPI) is 1124175815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Minor Chamblin's specialty?
- Minor Chamblin is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Minor Chamblin located?
- Minor Chamblin's practice location on file with NPPES is 1543 Kingsley Ave, Orange Park, FL 32073-4535.
- What is Minor Chamblin's phone number?
- The practice phone number listed in the NPPES registry for Minor Chamblin is (904) 269-3324.
- Is Minor Chamblin's NPI active?
- Yes — Minor Chamblin's NPI (1124175815) is active in the NPPES registry as of the last update on 2019-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.