MR. JUSTIN MATTHEW SHEWELL (NPI# 1134267859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134267859 |
Entity Type | Individual |
Full Name | MR. JUSTIN MATTHEW SHEWELL |
Credential | MS, MSW, PSY.D. LCSW |
Practice Address |
188 S Milledge Ave Suite 1 Athens GA 30605-5661 |
Practice Telephone | 7064245888 |
Practice Fax Number | 6783020196 |
Mailing Telephone | 7064245888 |
Mailing Fax Number | 6783020196 |
Enumeration Date | 2007-02-02 |
Last Update Date | 2011-04-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | PSY003451 | GA | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
CSW003860 | GA | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
SW 7207 | FL | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW570 | CO | Behavioral Health & Social Service Providers |
Street Address |
188 S MILLEDGE AVE SUITE 1 |
City | ATHENS |
State | GA |
Zip Code | 30605-5661 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356329452 | Tommie Laurice Walton IIi | Social Worker | 188 S Milledge Ave, Suite 2, Athens, GA 30605 | 2006-01-09 |
1992171243 | Haley Holt | Social Worker | 188 S Milledge Ave, Suite 1, Athens, GA 30605-5661 | 2015-08-20 |
1861774143 | Georgia Center for Ocd & Anxiety | Psychologist | 188 S Milledge Ave, Suite 2, Athens, GA 30605-5661 | 2011-09-13 |
1942537220 | Five Points Psychiatry, LLC | Psychiatry & Neurology | 188 S Milledge Ave, Suite 3, Athens, GA 30605-5661 | 2009-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811413701 | Lifecare Pharmacy Ga Corp | Pharmacy | 130 Gains School Rd, Athens, GA 30605 | 2017-08-22 |
1194245423 | Melissa Brooke Wilson | Speech-Language Pathologist | 345 Research Drive Apartment 76, Athens, GA 30605 | 2017-06-27 |
1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
1417374869 | Northeast Georgia Wellness Associates, LLC | Dietitian, Registered | 1197 Cedar Shoals Drive #103, Athens, GA 30605 | 2014-03-24 |
1245571272 | Optimum Medical Healthcare | Durable Medical Equipment & Medical Supplies | 1715 Cedar Shoals Drive, Athens, GA 30605 | 2013-03-15 |
1972850709 | Sandra Joy Motte | Occupational Therapy Assistant | 275 Woodgrove Dr, Athens, GA 30605 | 2012-08-10 |
1124309851 | Kasey Brown | Social Worker | 188 S. Milledge Ave., Suite 2, Athens, GA 30605 | 2011-09-08 |
1154652071 | Chris Mayo Counseling and Psychotherapy, Lcsw, LLC | Social Worker | 135 Milford Dr, Athens, GA 30605 | 2010-01-15 |
1700039732 | Andrew Case | Psychologist | 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 | 2008-11-04 |
Find all providers in zip 30605 |
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 |
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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.