EDWARD PELLICANO (NPI# 1225094402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225094402 |
| Entity Type | Individual |
| Full Name | EDWARD PELLICANO |
| Practice Address |
1915 Eisenhower Dr Savannah GA 31406-5027 |
| Mailing Address |
3 Belton Ln Savannah GA 31411-1632 |
| Practice Telephone | 9123562011 |
| Practice Fax Number | 9123513538 |
| Mailing Telephone | 9125980501 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2008-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
037330 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE | 037330 | 01 |
| Street Address |
1915 EISENHOWER DR |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-5027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568424133 | Todd David Burnett | Psychologist | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2006-04-06 |
| 1013525005 | Dhariniben Patel | Nurse Practitioner | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2020-07-16 |
| 1770135881 | Joshua Sheley | Physician Assistant | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2019-07-10 |
| 1023671591 | Sarah Ashley Mello | Psychologist | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2019-04-19 |
| 1154817906 | Mary Alice Gillingham | Nurse Practitioner | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2018-07-05 |
| 1932617362 | Jennifer Anderson | Social Worker | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2018-01-19 |
| 1265832554 | Carrie Virginia Hall | Physician Assistant | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2014-08-25 |
| 1124455993 | Esther Z. Burns | Dietitian, Registered | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2013-10-10 |
| 1932534088 | Enith Elise Hickman | Psychologist | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2013-09-09 |
| 1477998987 | H. Andrew Mannich | Counselor | 1915 Eisenhower Dr, Savannah, GA 31406-5027 | 2013-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710483565 | Rachel D. Maree, M.d., M.p.h., LLC | Psychiatry & Neurology | 631 Bridgewater Dr, Savannah, GA 31419-5518 | 2018-04-02 |
| 1710422043 | Arcway | Psychiatry & Neurology | 308 Commercial Dr Ste 100, Savannah, GA 31406-3679 | 2016-12-22 |
| 1811383375 | Michele Willis | Psychiatry & Neurology | 5002 Waters Ave Fl 2, Savannah, GA 31404-6226 | 2015-04-11 |
| 1194130989 | Belinda Montoya | Psychiatry & Neurology | 455 Montgomery St Apt 303, Savannah, GA 31401-7803 | 2014-06-30 |
| 1306132378 | Anne Margaret Carpenter | Psychiatry & Neurology | 325 Montgomery Cross Road, Savannah, GA 31406 | 2011-06-28 |
| 1841487493 | Ann Cashan Kleckner | Psychiatry & Neurology | 1 Ghost Crab Ct, Savannah, GA 31411-3111 | 2007-09-27 |
| 1831227487 | Manoj K Dass | Psychiatry & Neurology | 1121 Cornell Ave, Savannah, GA 31406-2701 | 2007-03-02 |
| 1316059090 | Ronald Bradley Sites | Psychiatry & Neurology | 515 E 63rd St, Savannah, GA 31405-4300 | 2006-08-31 |
| 1124133178 | Gordon G Ifill | Psychiatry & Neurology | 836 E 65th Street, 42 Medical Arts, Savannah, GA 31405 | 2006-08-20 |
| 1588691794 | Chad Brock | Psychiatry & Neurology | 1601 Abercorn St, Savannah, GA 31401-7521 | 2006-06-26 |
| Find all providers in SAVANNAH | ||||
Please comment or provide details below to improve the information on EDWARD PELLICANO.
| 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.