Provider Demographics
NPI:1144294174
Name:D'ARIENZO, JUSTIN A (PSYD, ABPP)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:A
Last Name:D'ARIENZO
Suffix:
Gender:M
Credentials:PSYD, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6058 SAN JOSE BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32217-2358
Mailing Address - Country:US
Mailing Address - Phone:904-379-8094
Mailing Address - Fax:904-379-8688
Practice Address - Street 1:6058 SAN JOSE BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32217-2358
Practice Address - Country:US
Practice Address - Phone:904-379-8094
Practice Address - Fax:904-379-8688
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7397103TH0100X, 103TP2701X, 103TB0200X, 103TA0400X, 103TC0700X, 103TF0000X
FLPY7397103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily