DR. AMY KRISTIANA HEESACKER


Address: 1751 S Lumpkin St., Athens, GA 30606-4740
Phone: 7064603105

DR. AMY KRISTIANA HEESACKER (NPI# 1255618054) 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) 1255618054
Entity Type Individual
Full Name DR. AMY KRISTIANA HEESACKER
Credential PHD
Practice Address 1751 S Lumpkin St.
Athens
GA 30606-4740
Practice Telephone 7064603105
Practice Fax Number 7063548904
Mailing Telephone 7064603105
Mailing Fax Number 7063548904
Enumeration Date 2011-11-08
Last Update Date 2019-04-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY003495 GA Behavioral Health & Social Service Providers

Office Location

Street Address 1751 S LUMPKIN ST.
City ATHENS
State GA
Zip Code 30606-4740

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NPI Name Taxonomy Address Enumeration
1942816962 Kofi Darkwa Seffah Student in an Organized Health Care Education/Training Program 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 2020-09-16
1831712363 Rebecca John Licensed Practical Nurse 240 Mitchel Bridge Road, Athens, GA 30606 2020-05-19
1497375612 Alfred Ka-shing Wong Student in an Organized Health Care Education/Training Program 1270 Prince Ave Suite 201, Athens, GA 30606 2020-04-17
1881223956 Lauren Fesperman Nurse Practitioner 242 King Ave Ste 130, Athens, GA 30606 2020-04-02
1255966081 Westminster Presbyterian Homes, Inc. Skilled Nursing Facility 1400 Live Oak Ln, Building 100, Athens, GA 30606 2020-03-12
1255981700 Carol Cameron Cready-pyle Social Worker 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 2019-09-17
1013576016 Lauren Gruendling Nurse Practitioner 242 King Avenue, Suite 210, Athens, GA 30606 2019-06-12
1760045223 Dominic Ofosu Amakye Student in an Organized Health Care Education/Training Program 1270 Prince Avenue Suite 201, Athens, GA 30606 2019-04-19
1740740422 Juan G Salazar Castillo Student in an Organized Health Care Education/Training Program Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 2019-03-20
1750869020 Jennifer Emily Chapman Physical Therapist 1021 Parkway Blvd Ste 101, Athens, GA 30606 2018-07-30
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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
1528551918 Bradford Thomas Meyers Psychologist 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 2018-06-11
1093264319 Angela Nutt Hahn Psychologist 159 Oneta St, Unit 1a Suite 7, Athens, GA 30601-3405 2016-09-28
1063877090 Emily Mouilso Psychologist Uga Psychology Department, 125 Baldwin Street, Athens, GA 30602-0001 2015-12-17
1093156721 Comprehensive Counseling & Psychological Services LLC Psychologist 3 West Stimson Ave, Athens, OH 45701 2013-07-10
1225302029 Sally Ann Kennedy Psychologist 1160 S Milledge Ave, Suite 130, Athens, GA 30605-1350 2012-02-27
1194019778 Hannah Harwood Nelson Psychologist 1090 Founders Blvd, Suite B, Athens, GA 30606-6163 2011-06-01
1881917912 Beverly A Williams, Phd Psychologist 2097 E State St, Suite B, Athens, OH 45701-2153 2010-03-03
1700039732 Andrew Case Psychologist 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 2008-11-04
1821259938 Lloyd Stephen Miller Psychologist 139 Psychology Building Baldwin St, The University of Georgia, Athens, GA 30602-0001 2008-06-20
1053514240 Maureen Mcgarty Phd PC Psychologist 697 South Milledge Avenue, Athens, GA 30605-5807 2007-06-06
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City ATHENS
Zip Code 30606

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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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