ROBERT J KENNERLEY PHD PA
NPI 1003053646
Clinic/Center - Adult Mental Health in New Smyrna Beach, FL

Active since January 20, 2009
265 N CAUSEWAY, NEW SMYRNA BEACH, FL 32169(386) 423-9161(386) 423-3094 Get Directions Write a Review

NPPES record last updated: August 26, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert J Kennerley Phd Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT J KENNERLEY PHD PA (NPI 1003053646) is a healthcare organization registered as an adult mental health in New Smyrna Beach, Florida and active in the NPI registry since January 2009. The organization lists Robert John Kennerley, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1003053646
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameROBERT J KENNERLEY PHD PA
Location Address265 N CAUSEWAYNew Smyrna Beach, FL 32169-5239
Mailing Address265 N CausewayNew Smyrna Beach, FL 32169-5239 · (386) 423-9161 · Fax (386) 423-3094
Fax(386) 423-3094
Organization SubpartNo
Authorized OfficialRobert John KennerleyPsychologist · (386) 423-9161
Enumeration DateJanuary 20, 2009
Last NPPES UpdateAugust 26, 2010
NPI 1003053646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License Licensed in FL · PY6507
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License PY6507 (FL)
265 N CAUSEWAY, New Smyrna Beach, FL 32169

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
265 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169
Psychiatry & Neurology (Psychiatry)
265 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169
Counselor (Mental Health)
265 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169
Counselor (Mental Health)
265 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169
Counselor (Addiction (Substance Use Disorder))
265 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169
Social Worker (Clinical)
265 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169
Counselor (Mental Health)
265 N CAUSEWAY
NEW SMYRNA, FL 32169
Counselor (Mental Health)
265 N CAUSEWAY
NEW SMYRNA BEACH, FL 32169

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert J Kennerley Phd PA's NPI number?

The NPI number for Robert J Kennerley Phd PA is 1003053646. It was assigned to this organization in the NPPES registry on January 20, 2009.

Where is Robert J Kennerley Phd PA located?

Robert J Kennerley Phd PA is located at 265 N Causeway, New Smyrna Beach, FL 32169. The listed phone number is (386) 423-9161.

What is Robert J Kennerley Phd PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Robert J Kennerley Phd PA was last updated on August 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.