DR. FRED W FUSSELL (NPI# 1184654170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184654170 |
| Entity Type | Individual |
| Full Name | DR. FRED W FUSSELL |
| Credential | PH.D. |
| Practice Address |
210 Washington St Nw Ste. 200 Gainesville GA 30501-3672 |
| Practice Telephone | 7705363902 |
| Practice Fax Number | 7705363902 |
| Mailing Telephone | 7705363902 |
| Mailing Fax Number | 7705363902 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1302 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00378111A | 05 |
| Street Address |
210 WASHINGTON ST NW STE. 200 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506924 | Emily F. Hoon, Phd, Pllc | Psychologist | 2531 Nw 41st Street, Suite C, Gainesville, FL 32606-7490 | 2020-10-21 |
| 1083103022 | Lindsey Bowman | Psychologist | University of Florida 1600 Sw Archer Rd G-901, Gainesville, FL 32610-0001 | 2018-05-04 |
| 1538603964 | Angela Koivula | Psychologist | 111 Se 1st Ave Ste 160, Gainesville, FL 32601-9914 | 2016-12-04 |
| 1851704324 | Mary L. Horn, Phd | Psychologist | 2131 Nw 40th Ter Ste C, Gainesville, FL 32605-5800 | 2014-06-03 |
| 1497184121 | Sherry Diane Broadwell | Psychologist | 517b Green Street, Gainesville, GA 30501 | 2013-11-04 |
| 1326396755 | London Butterfield | Psychologist | 2121 B Nw Terr, Gainesville, FL 32605-5813 | 2012-08-15 |
| 1548573272 | Monika Bigler Rosier | Psychologist | 1810 Nw 6th St Ste C, Gainesville, FL 32609 | 2010-07-22 |
| 1922335017 | Michelle M. Bishop, Phd, LLC | Psychologist | 2653 Sw 87th Dr Ste A, Gainesville, FL 32608-9313 | 2009-11-10 |
| 1770818924 | Evangelia Banou | Psychologist | 101 S Newell Dr Rm 3151, Gainesville, FL 32611-0001 | 2009-10-06 |
| 1538321468 | Susan Elizabeth Davis | Psychologist | 912 Nw 57th St Ste B, Gainesville, FL 32605-6425 | 2008-07-01 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.