KAROL SHORT


Address: 101 Sable Chase Blvd, Mcdonough, GA 30253-3456
Phone: 7069756057

KAROL SHORT (NPI# 1629692595) 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) 1629692595
Entity Type Individual
Full Name KAROL SHORT
Practice Address 101 Sable Chase Blvd
Mcdonough
GA 30253-3456
Practice Telephone 7069756057
Mailing Telephone 7069756057
Enumeration Date 2020-06-05
Last Update Date 2020-06-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TH0100X Psychologist
Specialization: Health Service
Behavioral Health & Social Service Providers

Office Location

Street Address 101 SABLE CHASE BLVD
City MCDONOUGH
State GA
Zip Code 30253-3456

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1518565159 First Choice Home Health Care LLC In Home Supportive Care 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 2020-10-15
1164033783 Tanequa S Dorsey Counselor 40 Macon Street, Suite D, Mcdonough, GA 30253 2020-08-17
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1205392305 Healthstat Onsite Clinic-henry County Preventive Medicine 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 2019-02-13
1588128557 Vernette R Mathurin Licensed Practical Nurse 97 Atl Street Suite 100, Mcdonough, GA 30253 2019-01-24
1083196836 Peta-gaye C Pilote Registered Nurse 319 Regal Way E, Mcdonough, GA 30253 2018-08-29
1275021586 Heritage Medical Supply LLC Durable Medical Equipment & Medical Supplies 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 2018-04-23
1457853236 Sherrille Greene Counselor 609 Autumn Leaf Circle, Mcdonough, GA 30253 2018-03-07
1376052696 Kendra Oreggio Private Vehicle 117 Janney Circle, Mcdonough, GA 30253 2017-09-29
1245758788 Pamela Hobbs Home Health Aide 5011 Monarch Dr, Mcdonough, GA 30253 2017-09-05
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Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740834092 Shenitta Guyton Psychologist 619 Grecken Grn, Peachtree City, GA 30269 2019-07-25
1265092654 Calvary Healthcare, Inc Psychologist 256 Van Dell Dr, Rock Spring, GA 30739-2640 2019-06-18
1215597182 Mind Family & Social Services, Inc Psychologist 153 Lee Byrd Rd # 3, Loganville, GA 30052-2310 2019-06-13
1790206555 Lauren Elizabeth Bigham Psychologist 997 Saint Sebastian Way # Eg202110, Augusta, GA 30912-2613 2017-07-03
1154729333 Katie C Daniels Psychologist 1119 Old River Rd, Darien, GA 31305 2014-12-19
1093070773 Family First Medical Center LLC Psychologist 1203 Cleveland Ave Ste 1, East Point, GA 30344-3417 2012-07-09
1811160740 Jacqueline Johnson Psychologist 2107 Gardenwood Ct, Atlanta, GA 30349 2008-04-11
1841310497 Walter Gregory Cox Psychologist 2923 Player St, Brunswick, GA 31520-4950 2007-03-29
1699882068 Thomas H. White Psychologist 451 Ee Butler Pkwy, Gainesville, GA 30501-4524 2006-08-23
1124353339 Pro- Holism Professional Corporation Psychologist 2480 Windy Hill Rd Se, Suite 206, Marietta, GA 30067-8644 2009-10-06
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Competitor

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City MCDONOUGH
Zip Code 30253

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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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