KERI A. BRESSETTE (NPI# 1154976496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154976496 |
Entity Type | Individual |
Full Name | KERI A. BRESSETTE |
Credential | PH.D. |
Practice Address |
229 Remington Ave Thomasville GA 31792-5522 |
Mailing Address |
4910 N Monroe St Apt G301 Tallahassee FL 32303-7055 |
Practice Telephone | 2292338009 |
Enumeration Date | 2019-08-05 |
Last Update Date | 2019-08-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY004304 | GA | Behavioral Health & Social Service Providers |
Street Address |
229 REMINGTON AVE |
City | THOMASVILLE |
State | GA |
Zip Code | 31792-5522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053640235 | Shannon D Mullen-magbalon | Psychologist | 229 Remington Ave, Thomasville, GA 31792-5599 | 2009-12-16 |
1629585765 | Katherine Harrison | Psychologist | 229 Remington Ave, Thomasville, GA 31792 | 2018-01-10 |
1538676671 | North Florida Children's Mental Wellness, LLC | Clinic/Center | 229 Remington Ave, Thomasville, GA 31792 | 2018-01-10 |
1770011058 | Mosaic Psychological Services, LLC | Psychologist | 229 Remington Ave, Thomasville, GA 31792-5522 | 2017-05-31 |
1720441694 | Carrie Milhous | Counselor | 229 Remington Ave, Thomasville, GA 31792-5522 | 2016-03-30 |
1831562826 | David Valpuesta | Marriage & Family Therapist | 229 Remington Ave, Thomasville, GA 31792-5522 | 2015-11-12 |
1073913281 | Rachelle Hickcox Cantin | Psychologist | 229 Remington Ave, Thomasville, GA 31792-5522 | 2014-08-26 |
1033545785 | Destin Nicole Stewart | Psychologist | 229 Remington Ave, Thomasville, GA 31792-5599 | 2013-09-25 |
1821342577 | John D. Richardson | Psychologist | 229 Remington Ave, Thomasville, GA 31792-5599 | 2012-11-02 |
1861773632 | Mandy Beth Mullen | Social Worker | 229 Remington Ave, Thomasville, GA 31792-5599 | 2011-09-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
Find all providers in zip 31792 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699941187 | Thomasville Family Counseling Center | Psychologist | 330 N Broad St Ste B, Thomasville, GA 31792-5100 | 2008-05-05 |
1629174032 | Christine M Renaud | Psychologist | 125 E Monroe St, Thomasville, GA 31792-5142 | 2006-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538693254 | Rachel Yosick | Psychologist | 520 Wembley Cir, Sandy Springs, GA 30328-6753 | 2017-04-19 |
1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
1245655893 | Tiffany Gilmore Randell | Psychologist | 101 Devant Street, Office 401, Fayetteville, GA 30214 | 2014-02-19 |
1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
1720409493 | Tonya Favors | Psychologist | 311 S Lee St, Apt C, Americus, GA 31709-3971 | 2013-12-26 |
1912336546 | Francine Adams | Psychologist | 324 Trace Ln, Lawrenceville, GA 30046-2896 | 2013-11-04 |
1447542691 | Erin Marie Jones | Psychologist | 1256 Briarcliff Rd Ne Ste 322e, Atlanta, GA 30306-2636 | 2011-05-06 |
1164729901 | Tiffany Whitworth | Psychologist | 4139 Hospital Dr Ne, Covington, GA 30014-2565 | 2011-02-14 |
1548573264 | Kimberley Blaker Saye | Psychologist | 4695 Mahonia Way Nw, Acworth, GA 30102-3575 | 2010-07-22 |
1316269350 | Caitlin Herzinger Delfs | Psychologist | 4994 Lower Roswell Rd Ste 10, Marietta, GA 30068-4332 | 2010-02-18 |
Find all providers with the same taxonomy |
City | THOMASVILLE |
Zip Code | 31792 |
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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.