MRS. MAVIS BENNETT (PSYCHOLOGIST) – Psychologist, NPI 1003999608

MRS. MAVIS BENNETT (PSYCHOLOGIST) is a healthcare provider. based in St augustine, Florida. specializing in Psychologist. They hold the professional credentials PSYCHOLOGIST. They hold a License No. MT1268 (FL). The NPI Number for MRS. MAVIS BENNETT (PSYCHOLOGIST) is 1003999608

Main info

Female
Sole Proprietor
Name
MRS. MAVIS BENNETT (PSYCHOLOGIST)
NPI
1003999608
Phone
(904) 824-7733
Address
1100 S PONCE DE LEON BLVD STE 1
Enumeration Date
24 October 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MRS. MAVIS BENNETT (PSYCHOLOGIST)

  • 1100 S PONCE DE LEON BLVD STE 1

    ST AUGUSTINE, FL 320846013

    Phone: (904) 824-7733

    Fax: (904) 829-9768

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32084)

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Reviews

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Frequently asked questions

What is the registry number for MRS. MAVIS BENNETT (PSYCHOLOGIST)?
The registry entry for MRS. MAVIS BENNETT (PSYCHOLOGIST) shows NPI 1003999608.
Should I treat MRS. MAVIS BENNETT (PSYCHOLOGIST) as an active provider?
Patients and plans typically see MRS. MAVIS BENNETT (PSYCHOLOGIST) as active in the national extract.
What services align with MRS. MAVIS BENNETT (PSYCHOLOGIST)'s listing?
MRS. MAVIS BENNETT (PSYCHOLOGIST)'s public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. MAVIS BENNETT (PSYCHOLOGIST)?
MRS. MAVIS BENNETT (PSYCHOLOGIST) is associated with St Augustine, Florida in the same public data insurers reference.
Why is information missing for MRS. MAVIS BENNETT (PSYCHOLOGIST)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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