OrganizationActive
Robert J Kennerley PHD PA
NPI 1003053646 · Adult Mental Health Clinic/Center · New Smyrna Beach, FL
Provider details
- NPI number
- 1003053646
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Kennerley, Psychologist(386) 423-9161
- License
- PY6507 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
265 N Causeway
New Smyrna Beach, FL 32169-5239
Phone: (386) 423-9161
Fax: (386) 423-3094
Street-level locationGet directions
Mailing address
265 N Causeway
New Smyrna Beach, FL 32169-5239
Registry dates
- Enumerated
- 2009-01-20
- Last updated
- 2010-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.