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PAUL W SCHENK PSYD PC NPI 1225248362


NPI Information

NPI: 1225248362
Provider Name: PAUL W SCHENK PSYD PC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
3589 HABERSHAM AT NORTHLAKE
TUCKER, GA
ZIP 30084
Phone: (770) 939-4473
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PAUL W SCHENK PSYD PC is a clinical psychologist in Tucker, GA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. PAUL W SCHENK PSYD PC NPI is 1225248362. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3589 HABERSHAM AT NORTHLAKE
TUCKER, GA
ZIP 30084-009
Phone: (770) 939-4473
Fax: (770) 939-0033

The provider's authorized official is Paul W. Schenk .
The authorized official title is President and has the following contact phone number (770) 939-4473.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 11/16/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & Behavioral663GEORGIANo
2103TC2200XPsychologistClinical Child & Adolescent663GEORGIANo
3103TF0000XPsychologistFamily663GEORGIANo
4103TC0700XPsychologistClinical663GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000187954AMEDICAIDGEORGIA
2034349481AMEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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