Mary Alston Kerllenevich, Ph.D. – Psychologist, NPI 1033364971

Mary Alston Kerllenevich, Ph.D. is a healthcare provider. based in St augustine, Florida. specializing in Psychologist. The organization holds a License No. PY 7744 (FL). The NPI Number for Mary Alston Kerllenevich, Ph.D. is 1033364971

Main info

Organization
Name
Mary Alston Kerllenevich, Ph.D.
NPI
1033364971
Phone
Not provided
Address
4900 US HIGHWAY 1 N
Authorized Official
MARY A KERLLENEVICH MGRM PH.D.
Enumeration Date
19 November 2008
Last Update Date
19 November 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness80
Years active:17State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Mary Alston Kerllenevich, Ph.D.

  • 4900 US HIGHWAY 1 N

    SUITE 400

    ST AUGUSTINE, FL 320956271

    Phone:

    Type: Mailing

  • 1100 S PONCE DE LEON BLVD STE 1

    ST AUGUSTINE, FL 320846013

    Phone: (904) 824-7733

    Fax: (904) 829-9768

    Type: Location

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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Educational use only—not medical, billing, or legal advice.

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

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 32095)

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Frequently asked questions

Is Mary Alston Kerllenevich, Ph.D. listed with a National Provider Identifier?
Yes — Mary Alston Kerllenevich, Ph.D. has NPI 1033364971 on file in the registry.
Active or inactive — what applies to Mary Alston Kerllenevich, Ph.D.?
You should see Mary Alston Kerllenevich, Ph.D. as active in CMS-hosted NPPES data.
How would a patient describe Mary Alston Kerllenevich, Ph.D.'s focus?
For Mary Alston Kerllenevich, Ph.D., the primary taxonomy reads as Psychologist. Clinical services aligned with this taxonomy classification.
Where in Florida is Mary Alston Kerllenevich, Ph.D. registered?
Use St Augustine, Florida as the headline location for Mary Alston Kerllenevich, Ph.D. here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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