KAROL SHORT (NPI# 1629692595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
Street Address |
101 SABLE CHASE BLVD |
City | MCDONOUGH |
State | GA |
Zip Code | 30253-3456 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
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 |
Find all providers in zip 30253 |
Taxonomy Code | 103TH0100X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Health Service |
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] |
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 |
Find all providers with the same taxonomy |
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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.