Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669547170 Individual Practitioner Male Practitioner

Dr. James Harry Penrod , PhD

Psychologist • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Dr. James Penrod, PhD is a registered healthcare professional specializing in Psychologist in Orange Park, FL. Practice services are available at 1732 KINGSLEY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1732 Kingsley Ave
Suite 1

Orange Park, FL 320734412

Telephone 9042640600
Fax 9042648972

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Orange Park, FL (2327 Statewide)

Telehealth Adoption Rate
0.0% 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 PY 3311

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
75564 (FL)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Patricia Boger , PhD

Psychologist - Clinical

NPI 1720153240

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1732 KINGSLEY AVE, SUITE 1, ORANGE PARK, FL 320734412 (Tel: 9042640600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1732 KINGSLEY AVE, SUITE 1, ORANGE PARK, FL 320734412 (Tel: 9042640600)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES PENROD, PH.D.

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

Psychologist (License #PY 3311 in FL)

🟢
Initial NPI Registration & Enumeration November 21, 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: 1669547170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1732 Kingsley Ave, Suite 1

Orange Park, FL 320734412

Phone: 9042640600

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.