IndividualActive
Phoenix Fullenwider
NPI 1417817875 · Marriage & Family Therapist · Ocoee, FL
Phoenix Fullenwider is a Marriage & Family Therapist provider in Ocoee, FL (NPI 1417817875).
Provider details
- NPI number
- 1417817875
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
630 Fortanini Cir
Ocoee, FL 34761-5077
Phone: (321) 464-9672
Street-level locationGet directions
Mailing address
630 Fortanini Cir
Ocoee, FL 34761-5077
Registry dates
- Enumerated
- 2025-11-17
- Last updated
- 2025-11-17
- Certified
- 2025-11-17
Frequently asked questions
- What is Phoenix Fullenwider's NPI number?
- Phoenix Fullenwider's National Provider Identifier (NPI) is 1417817875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phoenix Fullenwider's specialty?
- Phoenix Fullenwider is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Phoenix Fullenwider located?
- Phoenix Fullenwider's practice location on file with NPPES is 630 Fortanini Cir, Ocoee, FL 34761-5077.
- What is Phoenix Fullenwider's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Fullenwider is (321) 464-9672.
- Is Phoenix Fullenwider's NPI active?
- Yes — Phoenix Fullenwider's NPI (1417817875) is active in the NPPES registry as of the last update on 2025-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.