RICHARD A OFFUTT (NPI# 1265521736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265521736 |
| Entity Type | Individual |
| Full Name | RICHARD A OFFUTT |
| Credential | PSYD |
| Practice Address |
4015 South Cobb Dr #115 Smyrna GA 30080 |
| Practice Telephone | 7704312354 |
| Practice Fax Number | 7704367143 |
| Mailing Telephone | 7704312354 |
| Mailing Fax Number | 7704367143 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 001343 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356391122 | Richard E Offutt IIi | Dentist | 6719 Fairview Rd, Charlotte, NC 28210-3323 | 2006-05-11 |
| Street Address |
4015 SOUTH COBB DR #115 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588767909 | Karl S Mihalovits | Psychiatry & Neurology | 4015 South Cobb Dr, #115, Smyrna, GA 30080 | 2006-09-07 |
| 1275618092 | Denise Shipman | Psychiatry & Neurology | 4015 South Cobb Dr, Suite 5, Smyrna, GA 30080 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| 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 |
|---|---|---|---|---|
| 1063894004 | Debra Ann Geisel | Psychologist | 1234 King Springs Ct Se, Smyrna, GA 30080-5516 | 2015-06-26 |
| 1508206590 | Jillian Wolf | Psychologist | 433 Nissan Drive, Ste. 303, Smyrna, TN 37167-4360 | 2013-07-05 |
| 1174862288 | Martha Louise Dorsey | Psychologist | 133 Ennisbrook Dr Se, Smyrna, GA 30082-2448 | 2013-02-08 |
| 1972709327 | Barry B Tonkon | Psychologist | 2973 Big Woods Road, Smyrna, DE 19977-2942 | 2007-06-22 |
| 1285749655 | Carlton Lee Quarells | Psychologist | 1850 Lake Park Dr Se Ste 106, Smyrna, GA 30080-7642 | 2006-08-19 |
| 1740699131 | Tranquility Pointe Psychological Services, LLC | Psychologist | 4015 South Cobb Drive, Ste 210, Smyrna, GA 30080 | 2014-08-11 |
| 1083953178 | Cora Lee Institute | Psychologist | 3080 Highlands Pkwy Se, Ste A, Smyrna, GA 30082-5181 | 2013-02-08 |
| 1285994319 | Michael S Mcgarry Phd PC | Psychologist | 4015 S Cobb Dr Se, Suite 1, Smyrna, GA 30080-6303 | 2012-05-23 |
| 1083889307 | Wood's Psychological Services, Inc | Psychologist | 1330 Concord Rd Se, Suite 205, Smyrna, GA 30080-4375 | 2008-04-28 |
| 1285804120 | Evolve Consulting | Psychologist | 4045 Orchard Rd Se, Suite 110, Smyrna, GA 30080-4902 | 2008-03-06 |
| Find all providers in SMYRNA | ||||
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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.