IndividualActive
James Penrod, PH.D.
NPI 1669547170 · Psychologist · Orange Park, FL
Provider details
- NPI number
- 1669547170
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PY 3311 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1732 Kingsley Ave
Suite 1
Orange Park, FL 32073-4412
Phone: (904) 264-0600
Fax: (904) 264-8972
Approximate (ZIP-level) locationGet directions
Mailing address
1732 Kingsley Ave
Orange Park, FL 32073-4412
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.