DR. KEITH MONROE (NPI# 1285619502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285619502 |
| Entity Type | Individual |
| Full Name | DR. KEITH MONROE |
| Credential | PSY.D. |
| Practice Address |
One Freedom Way Augusta GA 30904-6285 |
| Practice Telephone | 7067330188 |
| Mailing Telephone | 7067330188 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 2903 | GA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
2903 | GA | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2903 | GA | Behavioral Health & Social Service Providers |
| X | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
2903 | GA | Behavioral Health & Social Service Providers |
| X | 103TR0400X |
Psychologist Specialization: Rehabilitation |
2903 | GA | Behavioral Health & Social Service Providers |
| Street Address |
ONE FREEDOM WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248763 | Carlisle Hamilton Vason | Dentist | One Freedom Way, Dental Service, Augusta, GA 30904 | 2019-07-29 |
| 1114448156 | Jennifer Rose Bailey | Student in an Organized Health Care Education/Training Program | One Freedom Way, Augusta, GA 30904 | 2017-06-29 |
| 1942679212 | Stephen Smith | Counselor | One Freedom Way, Charlie Norwood Va Medical Center, Augusta, GA 30904 | 2015-09-17 |
| 1356750194 | Lisa Ann Lane | Registered Nurse | One Freedom Way, Augusta, GA 30904 | 2014-08-06 |
| 1760819205 | John Phillip Joe | Recreation Therapist | One Freedom Way, Augusta, GA 30904-6285 | 2013-09-30 |
| 1841626074 | Sherie Lenell Davis | Counselor | One Freedom Way, Augusta, GA 30904-6285 | 2013-09-19 |
| 1124338215 | Stanley Borden IIi | Registered Nurse | One Freedom Way, Augusta, GA 30904-6285 | 2010-10-07 |
| 1821184300 | Cynthia Sue Wallerich | Dietitian, Registered | One Freedom Way, Medical Center Routing Symbol 295, Augusta, GA 30904 | 2006-10-04 |
| 1659473098 | David Enrique Rivera | Colon & Rectal Surgery | One Freedom Way, Augusta Veterans Affairs Medical Center, Augusta, GA 30904-6285 | 2006-09-05 |
| 1437160967 | Federico Hunt | Physician Assistant | One Freedom Way, Augusta Va Medical Center, Augusta, GA 30904 | 2006-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
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| 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 |
|---|---|---|---|---|
| 1417478090 | Marie Darden | Psychologist | Augusta University Dept of Psych and Health, Augusta, GA 30912-0001 | 2017-07-04 |
| 1396012852 | Servicorp Resource Center, Inc. | Psychologist | 1904 Highland Avenue, Augusta, GA 30904 | 2011-11-28 |
| 1598042111 | Adrian Janit Psychlsvcs LLC | Psychologist | 3730b Executive Center Dr, Augusta, GA 30907-2360 | 2011-11-10 |
| 1427370014 | Susan Waldron Newkirk-sanborn | Psychologist | 250 Arsenal St., 11 State House Station, Augusta, ME 04333-0011 | 2010-02-23 |
| 1609926831 | Diane Sue Solursh | Psychologist | 2301 Wrightsboro Road, Augusta, GA 30904 | 2007-01-11 |
| 1902955511 | Jesse F Lewis | Psychologist | 3540 Wheeler Rd Ste 415, Augusta, GA 30909-1888 | 2007-01-10 |
| 1326122870 | Kairos: Following The Heart | Psychologist | 753 Broad St Ste 405, Augusta, GA 30901-1385 | 2006-10-24 |
| 1417048398 | Rebecca L. Jump | Psychologist | 211 Pleasant Home Rd Ste G1, Augusta, GA 30907-0560 | 2006-09-27 |
| 1124129333 | Sadie C Maguire | Psychologist | 448 Telfair Street, Augusta, GA 30901 | 2006-09-26 |
| 1487757720 | Mary Ellison Brouillard | Psychologist | #1 Freedom Way (26), Augusta, GA 30904-6285 | 2006-09-05 |
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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.