Individual provider · Type 1 NPI

Michael E. Domery, PSY.D.

Clinical Psychologist · Jacksonville, FL

NPI number 1629301254 Active

Practice location

2080 Child St
Jacksonville, FL 32214-5005

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X017941 (NY)
Clinical Psychologist Primary 103TC0700X017941 (NY)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1629301254

Michael E. Domery, PSY.D.'s National Provider Identifier is 1629301254, issued on Sep 15, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 26, 2025.