FOOTPRINTS PSYCHOLOGICAL SERVICES LLC (NPI# 1487904454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487904454 |
| Entity Type | Organization |
| Organization Name | FOOTPRINTS PSYCHOLOGICAL SERVICES LLC |
| Practice Address |
1090 Founders Blvd. Ste B Athens GA 30606 |
| Practice Telephone | 7065488697 |
| Practice Fax Number | 7065488698 |
| Mailing Telephone | 7065488697 |
| Mailing Fax Number | 7065488698 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |
| Authorized Official Name | MS. CAROLYN PATRICIA BARNES (MANAGER/LICENSED CLINICAL PSYCHOLOG) |
| Authorized Official Telephone | 7065488697 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY003585 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1090 FOUNDERS BLVD. STE B |
| City | ATHENS |
| State | GA |
| Zip Code | 30606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1528580677 | Julie Sarno Owens | Psychologist | 1 Ohio University Dept Of, Athens, OH 45701-2942 | 2017-07-11 |
| 1003346578 | Brian T. Wymbs | Psychologist | 1 Ohio University Dept of Psychology, Porter Hall Room 002, Athens, OH 45701-2942 | 2017-06-15 |
| 1649700550 | Timothy Anderson | Psychologist | 1 Ohio University Psychology and Social Work Clinic, Room 002 Athens, Oh 45701-2942 United States, Athens, OH 45701-2942 | 2017-06-13 |
| 1790213213 | Julie Suhr | Psychologist | 250 Porter Hall Dept Of, Athens, OH 45701-1368 | 2017-05-29 |
| 1407384126 | Ryan Christopher Shorey | Psychologist | 1 Ohio University Dept of Psychology, Porter Hall Room, Athens, OH 45701-2942 | 2017-05-25 |
| 1760614119 | Pcap Inc | Psychologist | 215 Hawthorne Park Ste A, Athens, GA 30606-2164 | 2009-08-19 |
| 1295999050 | Nan W Cooley | Psychologist | 2085 S Milledge Ave, Suite 1, Athens, GA 30605-1655 | 2008-07-10 |
| 1891979803 | Psychology Clinic | Psychologist | 139 Psychology Bldg., The University of Georgia, Athens, GA 30602 | 2007-12-27 |
| Find all providers in ATHENS | ||||
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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.