DR. PHYLLIS D IVERY (NPI# 1649532649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649532649 |
| Entity Type | Individual |
| Full Name | DR. PHYLLIS D IVERY |
| Credential | PH.D. |
| Practice Address |
655 7th St Bldg 700700-a 78 Mdg/sgow Robins Afb GA 31098-2227 |
| Mailing Address |
217 Amber Dr Byron GA 31008-3876 |
| Practice Telephone | 4783278398 |
| Mailing Telephone | 6784477211 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY003523 | GA | Behavioral Health & Social Service Providers |
| Street Address |
655 7TH ST BLDG 700700-A 78 MDG/SGOW |
| City | ROBINS AFB |
| State | GA |
| Zip Code | 31098-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467751 | John R Reeves | Social Worker | 655 7th St Bldg 700700-a, 789 Mdg/sgowf, Robins Afb, GA 31098-2227 | 2005-06-15 |
| 1134647787 | Biljana Djordjevic Drake | Social Worker | 655 7th St Bldg 700700-a, Robins Afb, GA 31098-2227 | 2017-09-05 |
| 1750826558 | John Richard Jones II | Psychologist | 655 7th St Bldg 700700-a, Robins Afb, GA 31098-2227 | 2017-01-03 |
| 1932516341 | Kim Lanford | Pharmacist | 655 7th St Bldg 700700-a, 78 Mdg/sgsd, Robins Afb, GA 31098-2227 | 2014-07-17 |
| 1417369281 | Arielle Dani Lebovitz | Dietitian, Registered | 655 7th St Bldg 700700-a, 78 Amds/spgz, Robins Afb, GA 31098-2227 | 2014-05-28 |
| 1902237050 | Amy Kilbarger | Nurse Practitioner | 655 7th St Bldg 700700-a, 78 Mdg/ Sghc, Robins Afb, GA 31098-2227 | 2013-11-27 |
| 1346503190 | Victoria Freeney | Social Worker | 655 7th St Bldg 700700-a, Robins Afb, GA 31098-2227 | 2012-06-18 |
| 1295097061 | Heather Leigh Hough | Dietitian, Registered | 655 7th St Bldg 700700-a, 78 Mdg/sgpz, Robins Afb, GA 31098-2227 | 2012-06-08 |
| 1699093401 | Qianna Armstrong | Preventive Medicine | 655 7th St Bldg 700700-a, 78 Mdg/ Sgpf, Robins Afb, GA 31098-2227 | 2010-05-04 |
| 1467686493 | Daniel Troy Truscott | Family Medicine | 655 7th St Bldg 700700-a, 78 Mdg/sgohf, Robins Afb, GA 31098-2227 | 2009-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043679426 | Lori Demello | Behavioral Analyst | 477 Holly Drive, Warner Robins, GA 31098 | 2016-02-15 |
| 1760885057 | John A Kauderman Jr. | Optometrist | 655 South 7th St Bldg 700/700a, Robins Afb, GA 31098 | 2014-10-01 |
| 1255757183 | Damon Jamel Murphy | Psychologist | 655 South 7th St Bldg 700, 78 Mdg/sgpo, Robins Afb, GA 31098 | 2014-03-17 |
| 1548697485 | John Dye Jr. | Military Health Care Provider | 655 Seventh St., Robins Afb, GA 31098 | 2013-10-10 |
| 1881028009 | Michael Adam Lang | General Practice | Building 700a, Robins Afb, GA 31098 | 2013-08-23 |
| 1902243876 | Victor D Parker IIi | Military Health Care Provider | 78th Medical Group Sghc, 655 Seventh Street, Robins Afb, GA 31098 | 2013-05-31 |
| 1851646830 | David Alan Lunsford Jr. | Physical Therapist | 655 South 7th St Bldg 700/700-a, 78 Mdg/sgoy, Robins Afb, GA 31098 | 2012-07-17 |
| 1972880979 | Leighcraft A Shakes | Pharmacist | 655 7th St Bldg 700a7878, Robins Afb, GA 31098 | 2011-11-04 |
| 1154625101 | Carolina Anna Perez | Counselor | 655 Seventh Street, Robins Afb, Warner Robines, GA 31098 | 2011-01-05 |
| 1811128754 | Shawn Christopher Moore | Military Health Care Provider | 655th 7th Street, Robins Afb, GA 31098 | 2009-07-27 |
| Find all providers in zip 31098 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255757183 | Damon Jamel Murphy | Psychologist | 655 South 7th St Bldg 700, 78 Mdg/sgpo, Robins Afb, GA 31098 | 2014-03-17 |
| 1942742598 | Luke Jonathan Davidiuk | Psychologist | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sgxw, Robins Afb, GA 31098 | 2016-11-14 |
| 1144573213 | Clinton Samuel Comer | Psychologist | 655 7th St Bldg 700, Robins Afb, GA 31098-2227 | 2012-10-25 |
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|---|---|---|---|---|
| 1568072015 | Karen A Foster | Psychologist | 2115 Dee Dee Muse Ln Nw, Atlanta, GA 30318-1503 | 2020-08-08 |
| 1013525120 | Renato Popovic | Psychologist | 2601 Cross Country Dr, Columbus, GA 31906-1801 | 2020-07-15 |
| 1275159584 | Joe Ann Marie Brandt | Psychologist | 11706 Mercy Blvd Ste 1, Savannah, GA 31419-1751 | 2020-06-23 |
| 1376164863 | Alexander Brikman | Psychologist | 2374 Main St Ste A, Tucker, GA 30084-4533 | 2020-05-06 |
| 1154942084 | Martie Camille Belle | Psychologist | 1462 Clifton Rd Ne Ste 235, Atlanta, GA 30322-1063 | 2020-05-01 |
| 1518513738 | Narjerah Delk | Psychologist | 1226 Anchor Ter Sw, Atlanta, GA 30311-3402 | 2019-08-13 |
| 1043862907 | Lauren Barbara Mcsweeney | Psychologist | 12 Executive Park Dr Ne Ste 3000, Atlanta, GA 30329-2206 | 2019-07-11 |
| 1356907695 | Mc Medical LLC | Psychologist | 3615 Charles Hardy Pkwy Ste 200, Dallas, GA 30157-9472 | 2019-05-13 |
| 1851853758 | Charles A Helm | Psychologist | 116 Preston Landing Cir, Lithia Springs, GA 30122-6846 | 2019-04-01 |
| 1194285106 | Heather Ansari | Psychologist | 3715 Northside Pkwy Nw Ste 605, Atlanta, GA 30327-2886 | 2019-03-25 |
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| City | ROBINS AFB |
| Zip Code | 31098 |
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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.