Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly T Clouse, MD

Individual provider Psychiatry Physician · NPI 1932104288

Kelly T Clouse, MD is a Psychiatry in St Augustine, Florida. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2000, 26 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Florida and Wisconsin.

Years since qualifying
26
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
FL, WI
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Deerfield Preserve Blvd
St Augustine, FL 32086-5966
Phone: (904) 823-2896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME110938 (FL)
Psychiatry Physician Taxonomy 2084P0800X · Licence 46974 (WI)

Record details

NPI number1932104288
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2005
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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