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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PONTE VEDRA NEUROPSYCHOLOGY LLC
NPI 1114624277
Clinical Neuropsychologist in Ponte Vedra Beach, FL

Active since February 09, 2023
100 EXECUTIVE WAY STE 212, PONTE VEDRA BEACH, FL 32082(904) 709-4542 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2026, Feb 9, 2023 (2 updates tracked since 2023).

About Ponte Vedra Neuropsychology Llc NPPES

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

PONTE VEDRA NEUROPSYCHOLOGY LLC (NPI 1114624277) is a healthcare organization registered as a clinical neuropsychologist in Ponte Vedra Beach, Florida and active in the NPI registry since February 2023. The organization lists Kari Eng, Neuropsychologist / Owner, as its authorized official.

NPPES Registry Identity

NPI1114624277
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NamePONTE VEDRA NEUROPSYCHOLOGY LLC
Location Address100 EXECUTIVE WAY STE 212Ponte Vedra Beach, FL 32082-2714
Mailing Address176 Parkbluff CirPonte Vedra, FL 32081-0958 · (904) 303-8362
Phone(904) 709-4542
Organization SubpartNo
Authorized OfficialKari EngNeuropsychologist / Owner · (904) 303-8362
Enumeration DateFebruary 9, 2023
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1114624277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
100 EXECUTIVE WAY STE 212, Ponte Vedra Beach, FL 32082
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. KARI ENG PSYD
Clinical Neuropsychologist
100 EXECUTIVE WAY STE 212
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 709-4542

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 Ponte Vedra Neuropsychology LLC's NPI number?

The NPI number for Ponte Vedra Neuropsychology LLC is 1114624277. It was assigned to this organization in the NPPES registry on February 9, 2023.

Where is Ponte Vedra Neuropsychology LLC located?

Ponte Vedra Neuropsychology LLC is located at 100 Executive Way Ste 212, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 709-4542.

What is Ponte Vedra Neuropsychology LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Ponte Vedra Neuropsychology LLC was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.