STEPHANIE ANNE NORTHINGTON (NPI# 1457632150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457632150 |
| Entity Type | Individual |
| Full Name | STEPHANIE ANNE NORTHINGTON |
| Credential | PH.D. |
| Practice Address |
1355 Independence Dr Behavioral Medicine Department Augusta GA 30901-1037 |
| Practice Telephone | 7068235211 |
| Practice Fax Number | 7068235266 |
| Mailing Telephone | 7068235211 |
| Mailing Fax Number | 7068235266 |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1985 | KS | Behavioral Health & Social Service Providers |
| Street Address |
1355 INDEPENDENCE DR BEHAVIORAL MEDICINE DEPARTMENT |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699860817 | Walton Rehabiltation Hospital | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2006-10-04 |
| 1215388327 | Greenwood Medical Rehabilitation | Physical Medicine & Rehabilitation | 1355 Independence Dr, Augusta, GA 30901-1037 | 2016-06-29 |
| 1114393956 | Jennifer Rose Anderson | Registered Nurse | 1355 Independence Dr, Augusta, GA 30901-1037 | 2015-08-17 |
| 1659616811 | Encompass Health Walton Rehabilitation Hospital, LLC | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2012-11-29 |
| 1215201355 | Augusta Interventional Pain and Rehabilitation | Physical Medicine & Rehabilitation | 1355 Independence Dr, Augusta, GA 30901-1037 | 2012-03-07 |
| 1831474147 | Mentor A.b.i | Rehabilitation Hospital | 1355 Independence Dr, Augusta, GA 30901-1037 | 2011-10-18 |
| 1245526474 | American Rehabilitation Associates | Physical Medicine & Rehabilitation | 1355 Independence Dr, Augusta, GA 30901-1037 | 2011-06-27 |
| 1992025258 | Christopher Bell | Psychologist | 1355 Independence Dr, Augusta, GA 30901-1037 | 2010-06-09 |
| 1154554764 | William Schiff | Psychologist | 1355 Independence Dr, Augusta, GA 30901-1037 | 2009-08-30 |
| 1295904050 | Joseph Charles Augustin | Physical Medicine & Rehabilitation | 1355 Independence Dr, Physician Suite, Augusta, GA 30901-1037 | 2008-02-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
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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.