DR. JOHN SCOTT BARANCHOK (NPI# 1578542510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578542510 |
Entity Type | Individual |
Full Name | DR. JOHN SCOTT BARANCHOK |
Credential | PHD |
Practice Address |
504 Riverside Pkwy Ne Suite 300 Rome GA 30161-2982 |
Practice Telephone | 7062900535 |
Practice Fax Number | 7062901421 |
Mailing Telephone | 7062900535 |
Mailing Fax Number | 7062901421 |
Enumeration Date | 2006-01-10 |
Last Update Date | 2014-06-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 2010 | GA | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY002010 | GA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000793174C | 05 |
Street Address |
504 RIVERSIDE PKWY NE SUITE 300 |
City | ROME |
State | GA |
Zip Code | 30161-2982 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952443020 | Medpsych Services, PC | Specialist | 504 Riverside Pkwy Ne, Suite 300, Rome, GA 30161-2982 | 2007-02-13 |
1285721753 | Dennett Howe Gordon | Psychologist | 504 Riverside Pkwy Ne, Suite 112, Rome, GA 30161-2982 | 2006-10-06 |
1780782128 | The Calm Center Inc. | Psychologist | 504 Riverside Pkwy Ne, Suite 112, Rome, GA 30161-2982 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265069256 | Three Rivers Housing and Development Corporation | Chore Provider | 326 W. 9th St, Rome, GA 30161 | 2020-03-27 |
1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
1003394883 | Cindy V Shelton | Health Educator | 204 E 1st Ave, Rome, GA 30161 | 2018-08-02 |
1083153597 | Julie Oglesby Allen | Counselor | 1 S Broad St Sw Ste 5, Rome, GA 30161 | 2017-02-16 |
1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
1215344379 | Nancy Patel | Pharmacist | 1421 North Broad St, Rome, GA 30161 | 2014-07-21 |
1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
Find all providers in zip 30161 |
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 |
---|---|---|---|---|
1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
1386855039 | Dana Stephens Deboskey | Clinical Neuropsychologist | 1940 Little Texas Valley Rd Nw, Rome, GA 30165-4459 | 2007-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720614746 | Neuropsychology Associates of Georgia LLC | Clinical Neuropsychologist | 280 Interstate North Cir Se Ste 450, Atlanta, GA 30339-2451 | 2020-03-21 |
1023586773 | The Atlanta Psychology Group | Clinical Neuropsychologist | 3500 Piedmont Rd Ne Ste 740, Atlanta, GA 30305-1507 | 2018-11-09 |
1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
1316451719 | Zainab Delawalla | Clinical Neuropsychologist | 125 Clairemont Ave Ste 510, Decatur, GA 30030-2504 | 2017-11-21 |
1588199327 | Scott Edward Miller | Clinical Neuropsychologist | 352 Milledge Hall, University of Georgia, Athens, GA 30602-5875 | 2017-05-01 |
1053850172 | S. Marilyn Miller | Clinical Neuropsychologist | 90 Fairlie St Nw, Suite 203, Atlanta, GA 30303-2127 | 2017-02-22 |
1457898371 | Tamara Weiss, M.d., LLC | Clinical Neuropsychologist | 1772 Century Blvd Ne Ste A, Atlanta, GA 30345-3396 | 2017-01-30 |
1689048076 | Laura Blackwell | Clinical Neuropsychologist | 5455 Meridian Marks Rd Ste 180, Atlanta, GA 30342-4716 | 2015-11-23 |
1003205741 | Lifespan Psychology, P.C. | Clinical Neuropsychologist | 98 Voorhees Rd E, Hamilton, GA 31811-5671 | 2015-01-19 |
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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.