Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1093828915 Deactivated / Inactive NPI Female Practitioner

Dr. Eileen B Fennell , PhD

Psychologist • Gainesville, 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. Eileen Fennell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2006
NPI Deactivation Date November 22, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Eileen Fennell, PhD was a registered Psychologist practicing in Gainesville, FL. Throughout an active medical career spanning 17 years, Dr. Fennell provided care at the practice location at 1600 SW ARCHER RD until profile deactivation on 2023-11-22.

Practice Location & Contact Primary Location

Practice Address

1600 Sw Archer Rd

Gainesville, FL 326103003

Telephone 3522736151
Fax 3522736156
Associated Practice Facility / Clinic
🏢 Faculty Associates, Inc Facility NPI 1659322014

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Gainesville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.3 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
122 Specialists

Practicing in Gainesville, FL (2327 Statewide)

Telehealth Adoption Rate
9.8% 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 PY2191

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Bruce Crosson , PhD

Clinical Neuropsychologist

NPI 1366459398

Doctor of Philosophy (Ph.D.)

NPI 1376296772

Doctor of Philosophy (Ph.D.)

NPI 1639186935

Doctor of Philosophy (Ph.D.)

NPI 1811000730

Doctor of Philosophy (Ph.D.)

NPI 1871565275

Doctor of Philosophy (Ph.D.)

NPI 1902919822

Doctor of Philosophy (Ph.D.)

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 November 22, 2023

Record deactivated on November 22, 2023

NPI Profile Active February 18, 2008

NPI status registered as active in NPPES database

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Updated Practice Location February 18, 2008

Registered at 1600 SW ARCHER RD, GAINESVILLE, FL 326103003 (Tel: 3522736151)

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Updated Business Mailing Address February 18, 2008

Registered at PO BOX 918025, ORLANDO, FL 328918025

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Provider Name / Credentials Updated February 18, 2008

Recorded as EILEEN FENNELL, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2008

Psychologist (License #PY2191 in FL)

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Initial NPI Registration & Enumeration August 16, 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: 1093828915
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2006
Last Update: February 18, 2008
Deactivation Date: November 22, 2023

Mailing Address

Po Box 918025

Orlando, FL 328918025

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.