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Deactivated NPI 1972675296 Deactivated / Inactive NPI Male Practitioner

Dr. William Lee Ross , PhD

Psychologist • Fernandina Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Ross has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 14, 2006
NPI Deactivation Date March 20, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. William Ross, PhD was a registered Psychologist practicing in Fernandina Beach, FL. Throughout an active medical career spanning 19 years, Dr. Ross provided care at the practice location at 1405 PARK AVE until profile deactivation on 2025-03-20.

Practice Location & Contact Primary Location

Practice Address

1405 Park Ave
Suite 202

Fernandina Beach, FL 32034

Telephone 9042772052
Fax 9042772083
Associated Practice Facility / Clinic
🏢 William L Ross Facility NPI 1083834246

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Fernandina Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Fernandina Beach, FL (2327 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License FL PY0002557

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 20, 2025

Record deactivated on March 20, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1405 PARK AVE, SUITE 202, FERNANDINA BEACH, FL 32034 (Tel: 9042772052)

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Updated Business Mailing Address July 08, 2007

Registered at 1405 PARK AVE, SUITE 202, FERNANDINA BEACH, FL 32034 (Tel: 9042772052)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM ROSS, PHD

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

Psychologist (License #PY0002557 in FL)

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Initial NPI Registration & Enumeration November 14, 2006

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: 1972675296
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2006
Last Update: July 08, 2007
Deactivation Date: March 20, 2025

Mailing Address

1405 Park Ave, Suite 202

Fernandina Beach, FL 32034

Phone: 9042772052

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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