Individual provider Active NPI

Kari Eng, PSYD

  • Clinical Neuropsychologist
  • Ponte Vedra Beach, FL
National Provider Identifier
1356591366
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY9629 Issued in FL
Practice address
100 Executive Way Ste 212
Ponte Vedra Beach, FL 32082-2714
Phone
(904) 709-4542
NPI assigned
Sep 26, 2008
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY9629 FL Primary
Clinical Psychologist 103TC0700X PY9629 FL

Addresses

Primary practice location

100 Executive Way Ste 212
Ponte Vedra Beach, FL 32082-2714

Mailing address

100 Executive Way Ste 212
Ponte Vedra Beach, FL 32082-2714
Phone (904) 709-4542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011002998 FL Practitioner - Clinical Psychologist 1951699784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4210 Valley Ridge Blvd
Suite 113
Ponte Vedra, FL 32081-5171
Phone (904) 303-8362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ponte Vedra Neuropsychology LLC Clinical Neuropsychologist CurrentSince Sep 19, 2022 Accepting new patients
Florida Psychological & Associated Healthcare Past Accepting new patients

Locations

4210 Valley Ridge Blvd
Ste 113
Ponte Vedra, FL 32081
Phone (512) 695-7901

100 Executive Way
Ste 212
Ponte Vedra Beach, FL 32082

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1356591366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE WAY STE 212",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822714",
            "telephone_number": "904-709-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EXECUTIVE WAY STE 212",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822714",
            "telephone_number": "904-709-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG",
        "first_name": "KARI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY9629",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

Verify at the official NPI Registry.