DR. FRED W FUSSELL PH.D.
NPI 1184654170
Psychologist in Gainesville, GA

Active since July 04, 2006
210 WASHINGTON ST NW, STE. 200, GAINESVILLE, GA 30501(770) 536-3902(770) 536-3902 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Fred W Fussell Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FRED W FUSSELL PH.D. (NPI 1184654170) is an individual psychologist in Gainesville, Georgia, licensed in Georgia (1302) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1184654170
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. FRED W FUSSELLCredential: PH.D.
Location Address210 WASHINGTON ST NW, STE. 200Gainesville, GA 30501-3672
Mailing Address210 Washington St Nw, Ste. 200Gainesville, GA 30501-3672 · (770) 536-3902 · Fax (770) 536-3902
Fax(770) 536-3902
Sole ProprietorYes
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1184654170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · 1302
Definition
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.
210 WASHINGTON ST NW, Gainesville, GA 30501

Other Identifiers 1

Medicaid00378111AGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Fussell's NPI number?

The NPI number for Fred Fussell is 1184654170. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Fred Fussell located?

Fred Fussell practices at 210 Washington St NW Ste. 200, Gainesville, GA 30501. The listed phone number is (770) 536-3902.

What is Fred Fussell's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Fred Fussell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.