Mary Kerllenevich, PH.D.
NPI 1386713048 · Psychologist · St Augustine, FL
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Kerllenevich, PH.D. is a Psychologist provider in St Augustine, FL (NPI 1386713048).
Provider details
- NPI number
- 1386713048
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PY7744 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2008-08-12
Frequently asked questions
- What is Mary Kerllenevich's NPI number?
- Mary Kerllenevich's National Provider Identifier (NPI) is 1386713048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Kerllenevich's specialty?
- Mary Kerllenevich is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Mary Kerllenevich located?
- Mary Kerllenevich's practice location on file with NPPES is 1100 S Ponce De Leon Blvd Ste 1, St Augustine, FL 32084-6013.
- What is Mary Kerllenevich's phone number?
- The practice phone number listed in the NPPES registry for Mary Kerllenevich is (904) 824-7733.
- Does Mary Kerllenevich accept Medicare?
- Mary Kerllenevich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Kerllenevich's NPI active?
- Yes — Mary Kerllenevich's NPI (1386713048) is active in the NPPES registry as of the last update on 2008-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.