IndividualActive
Janice Wachtel, PH.D.
NPI 1134235641 · Clinical Psychologist · Ponte Vedra Beach, FL
Provider details
- NPI number
- 1134235641
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PY0005827 (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
100 Executive Way
Ste 110
Ponte Vedra Beach, FL 32082-4753
Phone: (904) 834-2235
Fax: (866) 531-8858
Street-level locationGet directions
Mailing address
100 Executive Way
Ponte Vedra Beach, FL 32082-4753
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2022-02-03
- Certified
- 2022-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.