Doctor profile · Federal record

Dr. Kenneth Robertson, PH.D.

Psychologist (CMS: Clinical Psychologist) · St Augustine, FL

  • NPI 1609070069
  • Accepts Medicare
  • 33 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3604 Fort Peyton Cir
St Augustine, FL 320869101
(904) 540-5310

Credentials & registration

NPPES · NUCC
NPI registered
June 2007 — 19 yrs on file
Profile last updated
July 8, 2007
Year of graduation
1993 — 33 yrs since
Specialty taxonomy
103T00000X — NUCC code
State license (1)
Florida #PY 6760

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1609070069. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
249
Distinct HCPCS
2
Medicare allowed
$17,383
HCPCS Description Services Patients Avg allowed
90832 Psychotherapy, 30 minutes 238 12 $66
90791 Psychiatric diagnostic evaluation 11 11 $162

In context: peer comparison

Among 1 peers in St Augustine Psychologist, average services per provider: 124. This provider delivers 2.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Kenneth Robertson's medical specialty?
Dr. Kenneth Robertson practices Psychologist in St Augustine, FL.
Where does Dr. Kenneth Robertson practice?
Dr. Kenneth Robertson practices at 3604 Fort Peyton Cir, St Augustine, FL 320869101. Office phone: 9045405310.
What is Dr. Kenneth Robertson's NPI?
Dr. Kenneth Robertson's National Provider Identifier (NPI) is 1609070069, issued by NPPES.
Does Dr. Kenneth Robertson accept Medicare assignment?
Yes. Dr. Kenneth Robertson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kenneth Robertson commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90832); Psychiatric diagnostic evaluation (HCPCS 90791). Source: CMS Medicare Physician & Other Practitioners file.