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).
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 |
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 |
Street Address |
1485 JESSE JEWEL PARKWAY SE |
City | GAINESVILLE |
State | GA |
Zip Code | 30501 |
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 |
Find all providers in zip 30501 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
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] |
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 |
Find all providers in GAINESVILLE |
City | GAINESVILLE |
Zip Code | 30501 |
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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.