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MR. JACK MELVIN MERWIN PSYCHOLOGIST
NPI 1619050473
Psychologist - Cognitive & Behavioral in Saint Augustine, FL

Active since October 23, 2006
1100 S PONCE DE LEON BLVD STE 1, SAINT AUGUSTINE, FL 32084(904) 824-7733(904) 829-9768 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jack Melvin Merwin Psychologist NPPES

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

MR. JACK MELVIN MERWIN PSYCHOLOGIST (NPI 1619050473) is an individual cognitive & behavioral provider in Saint Augustine, Florida, licensed in Florida (PY2444) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1619050473
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameMR. JACK MELVIN MERWINCredential: PSYCHOLOGIST
Location Address1100 S PONCE DE LEON BLVD STE 1Saint Augustine, FL 32084-6013
Mailing Address1100 S Ponce De Leon Blvd Ste 1Saint Augustine, FL 32084-6013 · (904) 824-7733 · Fax (904) 829-9768
Phone(904) 824-7733
Fax(904) 829-9768
Sole ProprietorYes
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619050473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in FL · PY2444
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
1100 S PONCE DE LEON BLVD STE 1, Saint Augustine, FL 32084
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Other Identifiers 1

Medicare ID-Type Unspecified75181ZFL

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.

MRS. MAVIS BENNETT PSYCHOLOGIST
Psychologist
1100 S PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL 32084
St. Johns County (904) 824-7733
MARY ALSTON KERLLENEVICH, LLC
Psychologist
1100 S PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL 32084
St. Johns County (904) 824-7733
MR. ANDREW ARNOLD SAPPINGTON III PSYCHOLOGIST
Psychologist
1100 S PONCE DE LEON BLVD STE 1
SAINT AUGUSTINE, FL 32084
St. Johns County (904) 824-7733
MR. STEPHEN WILLIAM HENNEKA L.C.S.W.
Social Worker (Clinical)
1100 S PONCE DE LEON BLVD STE 1
SAINT AUGUSTINE, FL 32084
St. Johns County (904) 824-7733
PATRICIA LEWIS-SLAYTON, LCSW LMFT. INC
Social Worker (Clinical)
1100 S PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL 32084
St. Johns County (904) 824-7733
DR. MARY ALSTON KERLLENEVICH PH.D.
Psychologist
1100 S PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL 32084
St. Johns County (904) 824-7733
MR. DAVID LEROY HACKNEY L.M.H.C.
Counselor (Mental Health)
1100 S PONCE DE LEON BLVD STE 1
SAINT AUGUSTINE, FL 32084
St. Johns County (904) 824-7733
MRS. VALERIE LYNNE BARTOL M.A.
Counselor (Mental Health)
1100 S PONCE DE LEON BLVD STE 1
ST AUGUSTINE, FL 32084
St. Johns County (904) 824-7733

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 Jack Merwin's NPI number?

The NPI number for Jack Merwin is 1619050473. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Jack Merwin located?

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

What is Jack Merwin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Jack Merwin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.