P Praxis·MD
● Active Type 1 · Individual

DR. Jennifer E Fennell, PSYD

Psychologist·Norcross, GA· NPI 1881963437 · Enumerated 2011 · 14 years on NPI
Fennell is 1 of 7 psychologist providers in Norcross and 1 of 1487 in Georgia.
NPI age
14 years
Enumerated 2011-12-27
Primary specialty
Psychologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-12-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1487 active psychologist providers in Georgia.

NPI age
14 years
↓ 3 yr below median (17 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-12Enumerated in NPPES
2011 2026

Where they practice

Practice location
4530 South Berkeley Lake Road
Norcross, GA 30071
📞 7704465642fax 7704465643
Mailing address
4530 South Berkeley Lake Road
Norcross, GA 30071
📞 7704465642fax 7704465643

Specialties

  • Psychologist Primary
    A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
    GA license #PSY003407 taxonomy 103TC0700X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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