OrganizationActive
Mary Alston Kerllenevich, LLC
NPI 1033364971 · Psychologist · St Augustine, FL
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(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
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.