SHIRLEY BOONE-SANFORD (NPI# 1609837616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609837616 |
Entity Type | Individual |
Full Name | SHIRLEY BOONE-SANFORD |
Credential | PH.D. |
Practice Address |
485 S Perry St Suite D Lawrenceville GA 30045-4923 |
Mailing Address |
Po Box 2133 Lawrenceville GA 30046-2133 |
Practice Telephone | 6782050838 |
Practice Fax Number | 6782050800 |
Mailing Telephone | 6782050838 |
Mailing Fax Number | 6782050800 |
Enumeration Date | 2006-03-29 |
Last Update Date | 2008-01-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 002451 | GA | Behavioral Health & Social Service Providers |
Street Address |
485 S PERRY ST SUITE D |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30045-4923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437323029 | Sbs Psychological Associates | Psychologist | 485 S Perry St, Suite D, Lawrenceville, GA 30045-4923 | 2008-04-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
Find all providers in zip 30045 |
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 |
---|---|---|---|---|
1841383452 | Rachel Elizabeth Christian | Psychologist | 1805 Herrington Rd., Bldg. 2, Lawrenceville, GA 30043 | 2006-10-02 |
1962413732 | Tracy Bradley Druckenbrod | Psychologist | 131 Lawrenceville Pennington Rd, Lawrenceville, NJ 08648-1414 | 2006-08-10 |
1891719100 | Lee Hayes Rogers | Psychologist | 1585 Old Norcross Rd, Suite 201-f, Lawrenceville, GA 30045-4043 | 2006-07-27 |
1437177433 | Erik A Fisher | Psychologist | 285 S Perry Street, Lawrenceville, GA 30045-5621 | 2006-07-17 |
1437539715 | Alison Steinhauser | Psychologist | 3100 Princeton Pike, Bdg 3 Suite B, Lawrenceville, NJ 08648-2300 | 2015-06-02 |
1285024810 | Life Transformation Psychological Center, PC | Psychologist | 1755 N Brown Rd, Suite 200, Lawrenceville, GA 30043-8198 | 2015-02-03 |
1013319847 | Gwinnett Psychology, LLC | Psychologist | 1805 Herrington Rd, Bldg. 2, Lawrenceville, GA 30043-7987 | 2014-09-24 |
1871839126 | Jeffrey B Allen | Psychologist | 123 Franklin Corner Rd, Suite 116, Lawrenceville, NJ 08648-2526 | 2012-12-13 |
1548513963 | Cassin Cole-straub | Psychologist | 1805 Herrington Rd, Bldg. 2, Lawrenceville, GA 30043-7987 | 2012-10-23 |
1346543923 | Karen Frances Wedam | Psychologist | 183 Franklin Corner Rd, Lawrenceville, NJ 08648-2555 | 2010-12-21 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30045 |
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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.