MRS. MAVIS BENNETT PSYCHOLOGIST
NPI 1003999608
Psychologist in St Augustine, FL

Active since October 24, 2006
1100 S PONCE DE LEON BLVD STE 1, ST AUGUSTINE, FL 32084(904) 824-7733(904) 829-9768 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mavis Bennett Psychologist NPPES

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

MRS. MAVIS BENNETT PSYCHOLOGIST (NPI 1003999608) is an individual psychologist in St Augustine, Florida, licensed in Florida (MT1268) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1003999608
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMRS. MAVIS BENNETTCredential: PSYCHOLOGIST
Location Address1100 S PONCE DE LEON BLVD STE 1St Augustine, FL 32084-6013
Mailing Address1100 S Ponce De Leon Blvd Ste 1St Augustine, FL 32084-6013 · (904) 824-7733 · Fax (904) 829-9768
Fax(904) 829-9768
Sole ProprietorYes
Enumeration DateOctober 24, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1003999608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · MT1268
Definition
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.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License MT1268 (FL)
1100 S PONCE DE LEON BLVD STE 1, St Augustine, FL 32084

Other Providers at the Same Location NPPES 12

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

Psychologist
1100 S PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL 32084
Psychologist
1100 S PONCE DE LEON BLVD STE 1
SAINT AUGUSTINE, FL 32084
Social Worker (Clinical)
1100 S PONCE DE LEON BLVD STE 1
SAINT AUGUSTINE, FL 32084
Social Worker (Clinical)
1100 S PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL 32084
Psychologist
1100 S PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL 32084
Counselor (Mental Health)
1100 S PONCE DE LEON BLVD STE 1
SAINT AUGUSTINE, FL 32084
Counselor (Mental Health)
1100 S PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL 32084
Counselor (Mental Health)
1100 S PONCE DE LEON BLVD STE 1
SAINT AUGUSTINE, FL 32084

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 Mavis Bennett's NPI number?

The NPI number for Mavis Bennett is 1003999608. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Mavis Bennett located?

Mavis Bennett practices at 1100 S Ponce De Leon Blvd Ste 1, St Augustine, FL 32084. The listed phone number is (904) 824-7733.

What is Mavis Bennett's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Mavis Bennett was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.