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ATHENS PSYCHOLOGICAL SERVICES LLC NPI 1457627044


NPI Information

NPI: 1457627044
Provider Name: ATHENS PSYCHOLOGICAL SERVICES, LLC
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
1090 FOUNDERS BLVD
STE. B
ATHENS, GA
ZIP 30606
Phone: (706) 548-8697
Get Directions

ATHENS PSYCHOLOGICAL SERVICES, LLC is a clinical child and adolescent psychologist in Athens, GA. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. ATHENS PSYCHOLOGICAL SERVICES, LLC NPI is 1457627044. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1090 FOUNDERS BLVD
STE. B
ATHENS, GA
ZIP 30606-163
Phone: (706) 548-8697
Fax: (706) 548-8698

The provider's authorized official is Joseph E. Mason .
The authorized official title is Ceo and has the following contact phone number (706) 548-8697.

The enumeration date for this NPI number is 3/28/2012 and was last updated on 3/28/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistPSY002674GEORGIANo
2103TB0200XPsychologistCognitive & BehavioralPSY002674GEORGIANo
3103TC2200XPsychologistClinical Child & AdolescentPSY002674GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1050836150CMEDICAIDGA
2556185000OTHERMAGELLAN
310034544OTHERAMERIGROUP

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: 4/28/2024

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