Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528086329 Individual Practitioner Female Practitioner

Dr. S Graham Kosch , PhD

Psychologist • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dr. S Kosch, PhD is a registered healthcare professional specializing in Psychologist in St Augustine, FL. Practice services are available at 100 S PONCE DE LEON BLVD under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 S Ponce De Leon Blvd
Suite 1

St Augustine, FL 320844214

Telephone 9048247733
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 44.0 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
10 Specialists

Practicing in St Augustine, FL (2327 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
29.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
236 16 $200.00 $140.16

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License FL PY2354

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
254757100 (FL)

Practice Associates & Co-Workers

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

17 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

11 Historical Events
NPI Profile Active March 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2017

Registered at 100 S PONCE DE LEON BLVD, SUITE 1, ST AUGUSTINE, FL 320844214 (Tel: 9048247733)

📍
Updated Business Mailing Address March 24, 2017

Registered at 100 S PONCE DE LEON BLVD, SUITE 1, ST AUGUSTINE, FL 320844214 (Tel: 9048247733)

👤
Provider Name / Credentials Updated March 24, 2017

Recorded as S KOSCH, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2017

Psychologist (License #PY2354 in FL)

NPI Profile Active March 06, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2008

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326103003 (Tel: 3523314333)

📍
Updated Business Mailing Address March 06, 2008

Registered at PO BOX 918025, ORLANDO, FL 328918025 (Tel: 3523924541)

👤
Provider Name / Credentials Updated March 06, 2008

Recorded as S KOSCH, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2008

Psychologist (License #PY2354 in FL)

🟢
Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528086329
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: March 24, 2017
Sole Proprietor: No

Mailing Address

100 S Ponce De Leon Blvd, Suite 1

St Augustine, FL 320844214

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.