DR. MICHELE BRENNEMAN PH.D. NPI 1922458686

NPI Information

  • NPI: 1922458686
  • Provider Name: DR. MICHELE BRENNEMAN, PH.D.
  • Classification: Psychologist - 103T00000X
  • Entity Type: Individual
  • Address: 460 TOWN PLAZA AVE
    SUITE 230
    PONTE VEDRA, FL
    ZIP 32081
  • Phone: (904) 671-6237

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NPI Details

DR. Michele Brenneman, PH.D. is a psychologist in Ponte Vedra, FL. The provider is 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. DR. Michele Brenneman, PH.D. NPI is 1922458686. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

460 TOWN PLAZA AVE
SUITE 230
PONTE VEDRA, FL
ZIP 32081-139
Phone: (904) 671-6237

The enumeration date for this NPI number is 6/14/2016 and was last updated on 6/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist003326GEORGIANo
2103T00000XPsychologistPY9335FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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