NORTH GEORGIA NEUROPSYCHOLOGICAL SERVICES


Address: 1485 Jesse Jewel Parkway Se, Gainesville, GA 30501
Phone: 6784620762

NORTH GEORGIA NEUROPSYCHOLOGICAL SERVICES (NPI# 1407397037) 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) 1407397037
Entity Type Organization
Organization Name NORTH GEORGIA NEUROPSYCHOLOGICAL SERVICES
Practice Address 1485 Jesse Jewel Parkway Se
Gainesville
GA 30501
Mailing Address 7145 Lanier Cove Court
Cumming
GA 30041-2198
Practice Telephone 6784620762
Enumeration Date 2017-03-15
Last Update Date 2017-03-15
Authorized Official Name DR. JUSTIN HUTHWAITE (PRESIDENT)
Authorized Official Telephone 6784620762
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
PSY002863 GA Behavioral Health & Social Service Providers
Y 103G00000X Clinical Neuropsychologist PSY002863 GA Behavioral Health & Social Service Providers

Office Location

Street Address 1485 JESSE JEWEL PARKWAY SE
City GAINESVILLE
State GA
Zip Code 30501

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437782851 Madison Raye Huth Physician Assistant 743 Spring Street Se, Gainesville, GA 30501 2020-02-13
1205487659 Grace M Walker Brown Nurse Practitioner 592 Medical Park Dr., Suite A, Gainesville, GA 30501 2019-09-26
1174086987 Nayab Ahmed Student in an Organized Health Care Education/Training Program 743 Spring Street, Suite 710, Gainesville, GA 30501 2019-04-09
1154881118 Ryan D Berry Student in an Organized Health Care Education/Training Program 734 Spring St Se Ste 710, Gainesville, GA 30501 2019-03-24
1609336304 Harper E Niver Student in an Organized Health Care Education/Training Program 743 Spring St., Suite 710, Gainesville, GA 30501 2019-03-20
1508336173 Bradee Burrell Aderholt Nurse Practitioner 663 Lanier Park Drive, Gainesville, GA 30501 2018-11-27
1578068359 Soammy Liz Matias Chiropractor 961 Green Street, Gainesville, GA 30501 2018-03-26
1811496896 Matthew Brown Speech-Language Pathologist 500 Spring St. Se Suite 101, Gainesville, GA 30501 2018-02-06
1346769825 Dr. Skeete & Associates of North Georgia, P.C. Optometrist 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 2017-09-15
1932624723 M & B Imaging, PC Radiology 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 2017-08-14
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699299081 Shellie-anne Levy Clinical Neuropsychologist 1600 Sw Archer Rd # G-901, Gainesville, FL 32610-3003 2017-07-27
1326465238 Heather Tree Clinical Neuropsychologist 3525 Nw 31st Ter, Gainesville, FL 32605-2178 2014-03-28
1487987830 Pamela Vetro Clinical Neuropsychologist 1605 Nw 16 Ave, Gainesville, FL 32605 2009-09-16
1073786927 Neuropsychological Sciences Clinical Neuropsychologist 10247 Sw 98th Ter, Gainesville, FL 32608-6081 2008-04-10
1386722445 Stephen P Farr Clinical Neuropsychologist 200 W Academy St. Nw, Suite A, Gainesville, GA 30501-8524 2006-11-02
1740716885 Kristin Moffett Hamlet Clinical Neuropsychologist 4001 Sw 13th St, Gainesville, FL 32608-3513 2017-05-11
1457702755 Erika Michele Cascio Clinical Neuropsychologist 1600 Sw Archer Rd, Suite G901, Gainesville, FL 32610-3003 2016-06-28
1184004616 Christopher Nicholas Sozda Clinical Neuropsychologist 1601 Sw Archer Rd, Psychology Service, Gainesville, FL 32608-1135 2015-05-29
1215224977 John B Williamson Clinical Neuropsychologist 1600 Sw Archer Rd, Gainesville, FL 32610-4004 2011-07-01
1912203076 Vonetta Michelle Dotson Clinical Neuropsychologist 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2011-02-07
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Competitor

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City GAINESVILLE
Zip Code 30501

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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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