PSYCHOLOGY CLINIC (NPI# 1891979803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891979803 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGY CLINIC |
| Practice Address |
139 Psychology Bldg. The University of Georgia Athens GA 30602 |
| Mailing Address |
139 Psychology Building Baldwin Street The University of Georgia Athens GA 30602-3061 |
| Practice Telephone | 7065421173 |
| Practice Fax Number | 7065428048 |
| Mailing Telephone | 7065421173 |
| Mailing Fax Number | 7065428048 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | DR. AMOS ZEICHNER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 7065421173 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
001667 | GA | Behavioral Health & Social Service Providers |
| Street Address |
139 PSYCHOLOGY BLDG. THE UNIVERSITY OF GEORGIA |
| City | ATHENS |
| State | GA |
| Zip Code | 30602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598380719 | Courtney Vickery | Dietitian, Registered | Dw Brooks Dr, Athens, GA 30602 | 2020-06-12 |
| 1902008188 | A. Michele Lease | Psychologist | 630 Aderhold Hall, University of Georgia, Athens, GA 30602 | 2007-06-01 |
| 1992881841 | Uga Speech and Hearing | Audiologist | 593 Aderhold Hall, Athens, GA 30602 | 2006-10-31 |
| 1437702453 | Anna Catherine Jessup | Specialist/Technologist | 330 River Rd, Athens, GA 30602 | 2019-07-18 |
| 1598072845 | Kendra Cordero Nelson | Physical Therapist | 370 River Road, Athens, GA 30602 | 2010-09-08 |
| 1104013150 | Kellie L Bauer | Speech-Language Pathologist | 593 Aderhold Hall, University of Georgia Speech and Hearing Clinic, Athens, GA 30602 | 2007-10-03 |
| 1699322271 | Michael Comeaux Jr. | Specialist/Technologist | 518 Dw Brooks Drive, Athens, GA 30602-0001 | 2019-08-20 |
| 1942852835 | Megha Danielle Sequeira | Specialist/Technologist | 330 Ramsey Road, Athens, GA 30602-0001 | 2019-07-11 |
| 1124688650 | Earl R. Cooper | Specialist/Technologist | 330 River Road 371 Ramsey Center 371 Ramsey Center, Athens, GA 30602-0001 | 2019-06-17 |
| 1700352242 | Uga Applied Behavior Analysis Clinic | Behavioral Analyst | 546 Aderhold Hall, Athens, GA 30602-0001 | 2018-10-23 |
| Find all providers in zip 30602 | ||||
| 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 |
| 1487904454 | Footprints Psychological Services LLC | Psychologist | 1090 Founders Blvd., Ste B, Athens, GA 30606 | 2012-09-17 |
| 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 |
| 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.