SHIRLEY BOONE-SANFORD


Address: 485 S Perry St, Suite D, Lawrenceville, GA 30045-4923
Phone: 6782050838

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 002451 GA Behavioral Health & Social Service Providers

Office Location

Street Address 485 S PERRY ST
SUITE D
City LAWRENCEVILLE
State GA
Zip Code 30045-4923

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437323029 Sbs Psychological Associates Psychologist 485 S Perry St, Suite D, Lawrenceville, GA 30045-4923 2008-04-15

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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
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City LAWRENCEVILLE
Zip Code 30045

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Dataset Information

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.

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