JACLYN PETERS (NPI# 1073928669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073928669 |
| Entity Type | Individual |
| Full Name | JACLYN PETERS |
| Credential | PH.D. |
| Practice Address |
1090 Founders Blvd Suite B Athens GA 30606-6163 |
| Practice Telephone | 7065488697 |
| Practice Fax Number | 7065488698 |
| Mailing Telephone | 7065488697 |
| Mailing Fax Number | 7065488698 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY003796 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679049886 | Jaclyn Peters | Registered Nurse | 9401 West Garfield Street, Tolleson, AZ 85353 | 2018-10-16 |
| 1306034178 | Jaclyn Peters | Physical Therapist | 2005 Limestone Ave, Columbia, MO 65203-8595 | 2007-10-05 |
| 1336427137 | Jaclyn Lynae Peters | Speech-Language Pathologist | 350 Henry Clay Blvd, Lexington, KY 40502-1024 | 2011-07-27 |
| Street Address |
1090 FOUNDERS BLVD SUITE B |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-6163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194019778 | Hannah Harwood Nelson | Psychologist | 1090 Founders Blvd, Suite B, Athens, GA 30606-6163 | 2011-06-01 |
| 1619458825 | Jason Benton LLC | Counselor | 1090 Founders Blvd, Athens, GA 30606-6163 | 2018-08-25 |
| 1811319403 | Jason M. Nelson | Psychologist | 1090 Founders Blvd, Suite B, Athens, GA 30606-6163 | 2014-01-15 |
| 1104254598 | Millie S. Kelleher, Lcsw | Social Worker | 1090 Founders Blvd, Suite B, Athens, GA 30606-6163 | 2013-10-22 |
| 1821435652 | Millie Sue Kelleher | Social Worker | 1090 Founders Blvd, Suite B, Athens, GA 30606-6163 | 2013-06-03 |
| 1689920167 | Carolyn Patricia Barnes | Psychologist | 1090 Founders Blvd, Suite B, Athens, GA 30606-6163 | 2012-08-02 |
| 1457627044 | Athens Psychological Services, LLC | Psychologist | 1090 Founders Blvd, Ste. B, Athens, GA 30606-6163 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1093264319 | Angela Nutt Hahn | Psychologist | 159 Oneta St, Unit 1a Suite 7, Athens, GA 30601-3405 | 2016-09-28 |
| 1063877090 | Emily Mouilso | Psychologist | Uga Psychology Department, 125 Baldwin Street, Athens, GA 30602-0001 | 2015-12-17 |
| 1093156721 | Comprehensive Counseling & Psychological Services LLC | Psychologist | 3 West Stimson Ave, Athens, OH 45701 | 2013-07-10 |
| 1225302029 | Sally Ann Kennedy | Psychologist | 1160 S Milledge Ave, Suite 130, Athens, GA 30605-1350 | 2012-02-27 |
| 1255618054 | Amy Kristiana Heesacker | Psychologist | 1751 S Lumpkin St., Athens, GA 30606-4740 | 2011-11-08 |
| 1194019778 | Hannah Harwood Nelson | Psychologist | 1090 Founders Blvd, Suite B, Athens, GA 30606-6163 | 2011-06-01 |
| 1881917912 | Beverly A Williams, Phd | Psychologist | 2097 E State St, Suite B, Athens, OH 45701-2153 | 2010-03-03 |
| 1700039732 | Andrew Case | Psychologist | 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 | 2008-11-04 |
| 1821259938 | Lloyd Stephen Miller | Psychologist | 139 Psychology Building Baldwin St, The University of Georgia, Athens, GA 30602-0001 | 2008-06-20 |
| Find all providers in ATHENS | ||||
Please comment or provide details below to improve the information on JACLYN PETERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.