DR. GEORGE MCLEOD PETTY JR. (NPI# 1831291624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831291624 |
| Entity Type | Individual |
| Full Name | DR. GEORGE MCLEOD PETTY JR. |
| Credential | PH.D. |
| Practice Address |
301 Andrews Ave Lyster Army Health Clinic Fort Rucker AL 36362-5333 |
| Practice Telephone | 3342557028 |
| Mailing Telephone | 3342557028 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2015-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 579 | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336356120 | George Emmett Petty IIi | Radiologic Technologist | 2155 E 23rd Ave S Ste A, Fremont, NE 68025-7849 | 2007-05-17 |
| 1831536333 | George Lycurglus Petty | Emergency Medicine | 1314 19th Ave, Meridian, MS 39301 | 2013-05-24 |
| 1255310934 | George W Petty | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-11 |
| Street Address |
301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC |
| City | FORT RUCKER |
| State | AL |
| Zip Code | 36362-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407845589 | Craig Brian Collier | Preventive Medicine | 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2005-10-20 |
| 1225638059 | Mary Sue Mercer | Licensed Practical Nurse | 301 Andrews Ave, Fort Rucker, AL 36362 | 2020-10-30 |
| 1619577673 | Reagan Alanee Jacobs | Licensed Practical Nurse | 301 Andrews Ave, Fort Rucker, AL 36362 | 2020-10-29 |
| 1417556424 | Edwin Brint Hollis | Physical Medicine & Rehabilitation | 301 Andrews Ave, Fort Rucker, AL 36362 | 2020-10-21 |
| 1134746506 | Daniel William Jones | Physical Therapy Assistant | 301 Andrews Ave, Fort Rucker, AL 36362 | 2020-07-01 |
| 1275169088 | Mahalia Leontine Goodman | Technician/Technologist | 301 Andrews Ave, Fort Rucker, AL 36362 | 2020-03-13 |
| 1801429493 | Debra D Davis | Licensed Practical Nurse | 301 Andrews Ave, Fort Rucker, AL 36362 | 2020-02-21 |
| 1669004131 | Shelby C Davis | Licensed Practical Nurse | 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2020-02-12 |
| 1407488067 | Bethany Neve | Registered Nurse | 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2020-02-11 |
| 1851923601 | Kevin Charles Ottiano | Emergency Medical Technician, Basic | 301 Andrews Ave, Fort Rucker, AL 36362 | 2020-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1417589268 | Jacob Michael Lezon | Emergency Medical Technician, Basic | 30501 Nevins St., Ft. Rucker, AL 36362 | 2020-02-10 |
| 1225535388 | Rhonda Lewis Wesolek | Dental Hygienist | Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 | 2018-04-06 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1750730958 | Teresa Morgan Knighten | Dental Hygienist | 4405 Innkeepers St, Fort Rucker, AL 36362 | 2016-06-08 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1689913808 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Fort Rucker Bldg. 9214, Daleville, AL 36362 | 2013-02-07 |
| 1275880205 | Sandra Lynn Griffin Banner | Optometrist | 33 Endl Ave, Fort Rucker, AL 36362 | 2012-08-09 |
| Find all providers in zip 36362 | ||||
| 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 |
|---|---|---|---|---|
| 1598376469 | Wesley Hendrick Mccormick | Psychologist | 301 Andrews Avenue, Fort Rucker, AL 36362 | 2020-08-13 |
| 1326306507 | Rachael Elisabeth Wittern | Psychologist | 301 Andrews Ave, Fort Rucker, AL 36362 | 2012-04-25 |
| 1083988414 | Mary Ann S Callen | Psychologist | 301 Andrews Avenue, Fort Rucker, AL 36363-5333 | 2012-03-02 |
| 1225357593 | Cara E. Cox Coleman | Psychologist | 301 Andrews Ave, Usasam, Fort Rucker, AL 36362 | 2010-05-25 |
| 1346570496 | Michelle Lynn Miller | Psychologist | 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2010-01-12 |
| 1578655460 | Massi Hugh Wyatt | Psychologist | 301 Andrews Ave, Behavioral Health, Fort Rucker, AL 36362-5333 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520204 | Tricia Witte | Psychologist | 4405 Woodland Hills Dr, Tuscaloosa, AL 35405-5420 | 2020-08-26 |
| 1659906212 | Keisha Wilson | Psychologist | 6573 Kings Branch Dr N, Mobile, AL 36618-4697 | 2020-03-04 |
| 1194284265 | Jeremiah Precious Barnett | Psychologist | 8449 Crossland Loop Ste 121, Montgomery, AL 36117-0919 | 2019-03-18 |
| 1568936102 | Quinton Lamar Agee | Psychologist | 4479 Flagstone Ln, Pinson, AL 35126-3700 | 2019-01-16 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1700387750 | Krista Ruth Mehari | Psychologist | 75 S University Blvd Ucom 2000, Mobile, AL 36688-0001 | 2018-02-26 |
| 1043726482 | Chenetra D Buchannon | Psychologist | 2400 Hospital Rd # 4a-209, Tuskegee, AL 36083-5001 | 2017-12-21 |
| 1265983878 | Claudia Mcdade | Psychologist | 375a Beach Club Trl, 1804, Gulf Shores, AL 36542-8314 | 2016-10-18 |
| 1700332657 | Grace Therapeutic & Counseling Services Inc | Psychologist | 7 East 13th St Suite 225, Anniston, AL 36201 | 2016-08-31 |
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| City | FORT RUCKER |
| Zip Code | 36362 |
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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.