OrganizationActive
Mary Alston Kerllenevich, LLC
NPI 1033364971 · Psychologist · St Augustine, FL
Mary Alston Kerllenevich, LLC is a Psychologist organization in St Augustine, FL (NPI 1033364971).
Provider details
- NPI number
- 1033364971
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mary Kerllenevich, Mgrm(904) 824-7733
- License
- PY 7744 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(87/100 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
1100 S Ponce De Leon Blvd Ste 1
St Augustine, FL 32084-6013
Phone: (904) 824-7733
Fax: (904) 829-9768
Street-level locationGet directions
Mailing address
4900 US Highway 1 N
St Augustine, FL 32095-6271
Other names (DBA / former)
- Other name
- Mary Alston Kerllenevich, PH.D.
Registry dates
- Enumerated
- 2008-11-19
- Last updated
- 2008-11-19
Frequently asked questions
- What is Mary Alston Kerllenevich, LLC's NPI number?
- Mary Alston Kerllenevich, LLC's National Provider Identifier (NPI) is 1033364971, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Alston Kerllenevich, LLC?
- Mary Alston Kerllenevich, LLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Mary Alston Kerllenevich, LLC located?
- Mary Alston Kerllenevich, LLC's practice location on file with NPPES is 1100 S Ponce De Leon Blvd Ste 1, St Augustine, FL 32084-6013.
- What is Mary Alston Kerllenevich, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mary Alston Kerllenevich, LLC is (904) 824-7733.
- Who is the authorized official for Mary Alston Kerllenevich, LLC?
- The authorized official listed on Mary Alston Kerllenevich, LLC's NPPES record is Mary Kerllenevich, Mgrm. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Alston Kerllenevich, LLC's NPI active?
- Yes — Mary Alston Kerllenevich, LLC's NPI (1033364971) is active in the NPPES registry as of the last update on 2008-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.