Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922458686 Individual Practitioner Female Practitioner

Dr. Michele Brenneman , PhD

Psychologist • Ponte Vedra, FL

Professional Overview & Biography Verified Profile Summary

Dr. Michele Brenneman, PhD is a registered healthcare professional specializing in Psychologist in Ponte Vedra, FL. Practice services are available at 460 TOWN PLAZA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

460 Town Plaza Ave
Suite 230

Ponte Vedra, FL 320815139

Telephone 9046716237
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Ponte Vedra, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Ponte Vedra, FL (2327 Statewide)

Telehealth Adoption Rate
50.0% 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 PY9335

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License GA 003326

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

3 Associated Practitioners
Dr. Annette Van Horn , PsyD

Psychologist - Clinical

NPI 1366891277

Doctor of Psychology (Psy.D.)

Dr. Kathryn Fleming Hanson , PsyD

Psychologist - Clinical

NPI 1558740068

Doctor of Psychology (Psy.D.)

NPI 1831508084

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2016

Registered at 460 TOWN PLAZA AVE, SUITE 230, PONTE VEDRA, FL 320815139 (Tel: 9046716237)

📍
Updated Business Mailing Address June 14, 2016

Registered at 460 TOWN PLAZA AVE, SUITE 230, PONTE VEDRA, FL 320815139 (Tel: 9046716237)

👤
Provider Name / Credentials Updated June 14, 2016

Recorded as MICHELE BRENNEMAN, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2016

Psychologist (License #PY9335 in FL)

🟢
Initial NPI Registration & Enumeration June 14, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1922458686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2016
Last Update: June 14, 2016
Sole Proprietor: Yes

Mailing Address

460 Town Plaza Ave, Suite 230

Ponte Vedra, FL 320815139

Phone: 9046716237

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.