Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619050473 Individual Practitioner Male Practitioner

Jack Melvin Merwin , PSYCHOLOGIST

Psychologist - Cognitive & Behavioral • Saint Augustine, FL

Professional Overview & Biography Verified Profile Summary

Jack Merwin, PSYCHOLOGIST is a registered healthcare professional specializing in Psychologist - Cognitive & Behavioral in Saint Augustine, FL. Practice services are available at 1100 S PONCE DE LEON BLVD STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 S Ponce De Leon Blvd Ste 1

Saint Augustine, FL 320846013

Telephone 9048247733
Fax 9048299768
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Cognitive & Behavioral in Saint Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Saint Augustine, FL (147 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Cognitive & Behavioral Primary Specialty

NUCC Taxonomy Code: 103TB0200X

State License FL PY2444

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
NPI 1003999608
Alyssa Thaxton , LCSW

Social Worker - Clinical

NPI 1043544356

Licensed Clinical Social Worker

NPI 1063502383
Stephen Henneka , LCSW

Social Worker - Clinical

NPI 1104916428

Licensed Clinical Social Worker

Yuliya Caprietta , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1124555628

Advanced Registered Nurse Practitioner

Patricia Lewis-Slayton , LCSW, LMFT

Counselor - Mental Health

NPI 1215010822

Licensed Clinical Social Worker, Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1100 S PONCE DE LEON BLVD STE 1, SAINT AUGUSTINE, FL 320846013 (Tel: 9048247733)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1100 S PONCE DE LEON BLVD STE 1, SAINT AUGUSTINE, FL 320846013 (Tel: 9048247733)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK MERWIN, PSYCHOLOGIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PY2444 in FL)

🟢
Initial NPI Registration & Enumeration October 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jack Merwin. Be the first to share your experience!

Sign in to leave a review for Jack Merwin

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1619050473
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1100 S Ponce De Leon Blvd Ste 1

Saint Augustine, FL 320846013

Phone: 9048247733

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.