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Active NPI 1609070069 Individual Practitioner Male Practitioner

Dr. Kenneth Dillon Robertson , PhD

Psychologist • St Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Robertson, PhD is a certified Psychologist practicing in St Augustine, FL. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Robertson delivers high-quality medical care to the local community at 3604 FORT PEYTON CIR.

Dr. Robertson is affiliated with Che Behavioral Health Services Of Florida, P.A. and accepts Medicare assignment.

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

3604 Fort Peyton Cir

St Augustine, FL 320869101

Telephone 9045405310

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in St Augustine, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs -11.0 yrs vs City Avg
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
67.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Robertson (33 Years) 33 Yrs
St Augustine Specialty Average (44.0 Years) 44.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90832 Psychotherapy, 30 minutes
238 12 $253.00 $65.55
90791 Psychiatric diagnostic evaluation
11 11 $448.56 $162.02

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License FL PY 6760

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.

Hospital & Practice Group Affiliations

Che Behavioral Health Services Of Florida, P.a.

6750 N Andrews Ave, Ft Lauderdale, FL 333092180

Phone: 8885153834

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 3604 FORT PEYTON CIR, ST AUGUSTINE, FL 320869101 (Tel: 9045405310)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3604 FORT PEYTON CIR, ST AUGUSTINE, FL 320869101 (Tel: 9045405310)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH ROBERTSON, PH.D.

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

Psychologist (License #PY 6760 in FL)

🟢
Initial NPI Registration & Enumeration June 12, 2007

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: 1609070069
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

3604 Fort Peyton Cir

St Augustine, FL 320869101

Phone: 9045405310

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.