DR. ROBERT JOHN KENNERLEY (NPI# 1528053410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528053410 |
| Entity Type | Individual |
| Full Name | DR. ROBERT JOHN KENNERLEY |
| Credential | PH.D. |
| Practice Address |
265 N Causeway New Smyrna Beach FL 32169-5239 |
| Practice Telephone | 3864239161 |
| Practice Fax Number | 3864233094 |
| Mailing Telephone | 3864239161 |
| Mailing Fax Number | 3864233094 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2010-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY6507 | FL | Behavioral Health & Social Service Providers |
| Street Address |
265 N CAUSEWAY |
| City | NEW SMYRNA BEACH |
| State | FL |
| Zip Code | 32169-5239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104381052 | Kim Carter Winokur, Pa | Counselor | 265 N Causeway, New Smyrna Beach, FL 32169-5239 | 2019-02-05 |
| 1326466343 | Wellness Within Us LLC | Counselor | 265 N Causeway, New Smyrna Beach, FL 32169-5239 | 2014-04-07 |
| 1609292812 | Kim Carter Winokur | Counselor | 265 N Causeway, New Smyrna Beach, FL 32169-5239 | 2014-03-12 |
| 1609211754 | Erin Tobiasz | Counselor | 265 N Causeway, New Smyrna Beach, FL 32169-5239 | 2013-05-02 |
| 1386873354 | Margaret Aldridge Consulting Inc. | Social Worker | 265 N Causeway, New Smyrna Beach, FL 32169-5239 | 2009-07-10 |
| 1003053646 | Robert J Kennerley Phd Pa | Clinic/Center | 265 N Causeway, New Smyrna Beach, FL 32169-5239 | 2009-01-20 |
| 1265618698 | Elisa Irene Davidow-carter | Counselor | 265 N Causeway, New Smyrna Beach, FL 32169-5239 | 2008-01-16 |
| 1992926661 | Salvador Cevallos | Psychiatry & Neurology | 265 N Causeway, New Smyrna Beach, FL 32169-5239 | 2007-05-01 |
| 1033231618 | Lisa F Macdowell | Nurse Practitioner | 265 N Causeway, New Smyrna Beach, FL 32169-5239 | 2007-04-04 |
| 1801858329 | Shane C Porter | Counselor | 265 N Causeway, New Smyrna Beach, FL 32169-5239 | 2006-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730604687 | Kristopher Allen Kessler | Chiropractor | 701 E 3rd Ave Unit 5, New Smyrna Beach, FL 32169 | 2017-08-11 |
| 1326420449 | Hugh Jacob Flanagan | Pharmacist | 709 E. 3rd Ave., New Smyrna Beach, FL 32169 | 2015-06-25 |
| 1518371996 | Shoreside Medical Center LLC | General Practice | 419 East Third Ave, New Smyrna Beach, FL 32169 | 2014-06-13 |
| 1447692272 | Donald B Walsh | Massage Therapist | 259 N Causeway, New Smyrna, FL 32169 | 2013-07-22 |
| 1841572047 | John A Stamm Jr. | Pharmacist | 800 Hwy A1a, New Smyrna Beach, FL 32169 | 2011-09-13 |
| 1578845764 | Benjamin Hanna | Pharmacist | 800 State Hwy A1a, New Smyrna Beach, FL 32169 | 2011-09-13 |
| 1669794681 | Health Point Pllc | Acupuncturist | 394-b North Causeway, New Smyrna Beach, FL 32169 | 2010-02-17 |
| 1831388917 | Evan D Magee | Specialist | 221 Robinson Rd, New Smyrna Bch, FL 32169 | 2007-10-15 |
| 1538376629 | Cathy Elizabeth Harris | Acupuncturist | 221 North Causeway, Suite C, New Smyrna Beach, FL 32169 | 2007-05-17 |
| 1770700106 | Andrea J Robins | Mechanotherapist | 101 Cedar Dunes Drive, New Smyrna Beach, FL 32169 | 2007-04-19 |
| Find all providers in zip 32169 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053748293 | Ladele Health | Psychologist | 1982 State Road 44, Suite 162, New Smyrna Beach, FL 32168-8349 | 2013-10-02 |
| 1952562274 | Thomas R. Saunders | Psychologist | 136 Julia St Unit 100, New Smyrna Beach, FL 32168-7713 | 2008-06-19 |
| 1154508901 | Julie L Parker | Psychologist | 221 N Causeway, Suite B, New Smyrna Beach, FL 32169-5298 | 2008-01-23 |
| 1366594509 | Gordon G Greenhalgh | Psychologist | 211 Live Oak St, New Smyrna Beach, FL 32168-7115 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144774 | Jennifer Mcmanus | Psychologist | 4143 San Juan Ave, Jacksonville, FL 32210-3333 | 2020-11-03 |
| 1992304711 | Thomas Francis Ryan | Psychologist | 1015 Sonesta Ave, Brandon, FL 33511-6658 | 2020-10-22 |
| 1912506924 | Emily F. Hoon, Phd, Pllc | Psychologist | 2531 Nw 41st Street, Suite C, Gainesville, FL 32606-7490 | 2020-10-21 |
| 1447866405 | Daniel Martinez | Psychologist | 4765 W Atlantic Ave, Delray Beach, FL 33445-3838 | 2020-09-16 |
| 1134731367 | North Florida Neuropsychology, LLC | Psychologist | 1614 Mahan Center Blvd Ste 104, Tallahassee, FL 32308-5475 | 2020-08-19 |
| 1215547153 | Ellen Frances Price Phd | Psychologist | 7025 Beracasa Way Ste 102c, Boca Raton, FL 33433-3428 | 2020-08-05 |
| 1811515745 | Sarah Amelia Sanon | Psychologist | 10381 Sw 9th Ln, Pembroke Pines, FL 33025-3585 | 2020-07-07 |
| 1720606718 | Carolina Montalvo | Psychologist | 480 Ne 30th St Apt 1606, Miami, FL 33137-4337 | 2020-07-07 |
| 1689291833 | Bridget Cabibi | Psychologist | 10700 Nw 66th St Apt 512, Doral, FL 33178-5508 | 2020-07-02 |
| 1912524414 | Infinity Doctors Inc. | Psychologist | 9821 E Bay Harbor Dr Apt 401, Bay Harbor Islands, FL 33154-1868 | 2020-06-30 |
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| City | NEW SMYRNA BEACH |
| Zip Code | 32169 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.