Individual provider Active NPI

Mary Louise Kerwin, DO

  • Psychiatry Physician
  • Jupiter, FL
National Provider Identifier
1003490814
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS20674 Issued in FL
Practice address
110 Front St
Suite 300, Internal Suite 360
Jupiter, FL 33477-5095
Phone
(561) 379-4232
NPI assigned
May 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS20674 FL Primary

Addresses

Primary practice location

110 Front St
Suite 300, Internal Suite 360
Jupiter, FL 33477-5095

Mailing address

110 Front St
Suite 300, Internal Suite 360
Jupiter, FL 33477-5095
Phone (561) 379-4232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240828003712 FL Practitioner - PsychiatryPractitioner - Osteopathic Manipulative Medicine 4385183896 Reassigns benefits to 5 organizations
I20260114001528 CA Practitioner - Osteopathic Manipulative Medicine 4385183896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Years Behavioral Center CorpGroup PAC ID 1951706662, 5 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians
La Sagrada Familia Medical Center IncGroup PAC ID 8224428826, 14 clinicians

Practice addresses (Care Compare)

12955 SW 42ND St
Miami, FL 33175-2928
Phone (786) 491-4947

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

7270 NW 12TH St
Miami, FL 33126-1941
Phone (786) 615-2843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS20674FLMDPsychiatry Physician
24799CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Motivating Lives Mental Health Services LLC CurrentSince Jul 29, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatry CurrentSince Nov 2, 2025 Accepting new patients
Grow Healthcare Group PC Psychiatry CurrentSince Dec 9, 2025 Accepting new patients
Grenier Behavioral Health Inc Past Accepting new patients
La Sagrada Familia Medical Center Inc Past Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

10300 Sunset Dr
Ste 414
Miami, FL 33173
Phone (786) 203-5379

Networks

  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • FL HMO
  • AL HMO
  • AL HMO D-SNP
  • FL HMO C-SNP
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO D-SNP

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1003490814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FRONT ST",
            "address_2": "SUITE 300, INTERNAL SUITE 360",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775095",
            "telephone_number": "561-379-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FRONT ST",
            "address_2": "SUITE 300, INTERNAL SUITE 360",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775095",
            "telephone_number": "561-379-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERWIN",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS20674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.