MR. JUSTIN MATTHEW SHEWELL


Address: 188 S Milledge Ave, Suite 1, Athens, GA 30605-5661
Phone: 7064245888

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 188 S MILLEDGE AVE
SUITE 1
City ATHENS
State GA
Zip Code 30605-5661

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy 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.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

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
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Competitor

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City ATHENS
Zip Code 30605

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Dataset Information

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.

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