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Deactivated NPI 1114028800 Deactivated / Inactive NPI Male Practitioner

Dr. Glenn D. Grace , 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. Glenn Grace has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 26, 2006
NPI Deactivation Date November 21, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Grace, PhD was a registered Psychologist practicing in Gainesville, FL. Throughout an active medical career spanning 18 years, Dr. Grace provided care at the practice location at 1601 SW ARCHER RD until profile deactivation on 2024-11-21.

Practice Location & Contact Primary Location

Practice Address

1601 Sw Archer Rd
Psychology Service (116b) Va Medical Center

Gainesville, FL 326081197

Telephone 3523761611
Fax 3523794026
Associated Practice Facility / Clinic
🏢 Gainesville Vamc Facility NPI 1861450744

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 PY4606

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

40 Associated Practitioners
Cathy Price , LCSW

Social Worker - Clinical

NPI 1003024126

Licensed Clinical Social Worker

Paul Smith , CTRS

Recreation Therapist

NPI 1003092925
Jakira Harris , LCSW

Social Worker - Clinical

NPI 1003158361

Licensed Clinical Social Worker

Dr. Jonathan Thomas , MD

Internal Medicine - Hematology

NPI 1003300732

Doctor of Medicine (M.D.)

Simran Panesar

Pharmacist

NPI 1003586512
Dr. John Egberts , PharmD

Pharmacist - Pharmacotherapy

NPI 1003803479

Doctor of Pharmacy (Pharm.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 21, 2024

Record deactivated on November 21, 2024

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 1601 SW ARCHER RD, PSYCHOLOGY SERVICE (116B) VA MEDICAL CENTER, GAINESVILLE, FL 326081197 (Tel: 3523761611)

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Updated Business Mailing Address July 08, 2007

Registered at 1601 SW ARCHER RD, PSYCHOLOGY SERVICE (116B) VA MEDICAL CENTER, GAINESVILLE, FL 326081197

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Provider Name / Credentials Updated July 08, 2007

Recorded as GLENN GRACE, PH.D.

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

Psychologist (License #PY4606 in FL)

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Initial NPI Registration & Enumeration September 26, 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: 1114028800
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: July 08, 2007
Deactivation Date: November 21, 2024

Mailing Address

1601 Sw Archer Rd, Psychology Service (116b) Va Medical Center

Gainesville, FL 326081197

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.