IndividualActive
Mary Charbonneau, PSYD
NPI 1174617617 · Psychologist · West Melbourne, FL
Mary Charbonneau, PSYD is a Psychologist provider in West Melbourne, FL (NPI 1174617617).
Provider details
- NPI number
- 1174617617
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
- License
- PY0007324 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2020 Commerce Dr
West Melbourne, FL 32904
Phone: (321) 952-6000
Approximate (ZIP-level) locationGet directions
Mailing address
2020 Commerce Dr
West Melbourne, FL 32904
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mary Charbonneau's NPI number?
- Mary Charbonneau's National Provider Identifier (NPI) is 1174617617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Charbonneau's specialty?
- Mary Charbonneau is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Mary Charbonneau located?
- Mary Charbonneau's practice location on file with NPPES is 2020 Commerce Dr, West Melbourne, FL 32904.
- What is Mary Charbonneau's phone number?
- The practice phone number listed in the NPPES registry for Mary Charbonneau is (321) 952-6000.
- Is Mary Charbonneau's NPI active?
- Yes — Mary Charbonneau's NPI (1174617617) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.