ASHLEY N. PETTONI, PSY.D., PC (NPI# 1851626105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851626105 |
| Entity Type | Organization |
| Organization Name | ASHLEY N. PETTONI, PSY.D., PC |
| Practice Address |
485 Huntington Rd 201 Athens GA 30606-1861 |
| Mailing Address |
2625 Piedmont Rd Ne 56-298 Atlanta GA 30324-3086 |
| Practice Telephone | 7065468440 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |
| Authorized Official Name | DR. ASHLEY N PETTONI (PSYCHOLOGIST) |
| Authorized Official Telephone | 4045500388 |
| Authorized Official Credential | PSY. D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY003250 | GA | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | PSY003250 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 364591572A | 05 | |
| GA | 364591572B | 05 |
| Street Address |
485 HUNTINGTON RD 201 |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-1861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639138860 | Richard Bank | Psychologist | 485 Huntington Rd, Suite 201, Athens, GA 30606-1861 | 2006-03-17 |
| 1740794296 | Melanie Villalta Lcsw, LLC | Social Worker | 485 Huntington Rd, Athens, GA 30606-1861 | 2017-11-20 |
| 1427597517 | Cyndy Page Counseling Services, LLC | Counselor | 485 Huntington Rd, Ste 197, Athens, GA 30606-1861 | 2017-02-22 |
| 1942660956 | Rogers Play Therapy & Counseling Services LLC | Counselor | 485 Huntington Rd, Ste 197, Athens, GA 30606-1861 | 2016-03-03 |
| 1134589641 | Heather Floyd Lundy | Psychologist | 485 Huntington Rd, #196, Athens, GA 30606-1861 | 2016-02-25 |
| 1124460415 | Nkosi Moyo | Massage Therapist | 485 Huntington Rd, # 198, Athens, GA 30606-1861 | 2013-07-26 |
| 1285906222 | Lisa Alejandra Wilbur | Massage Therapist | 485 Huntington Rd, Suite194, Athens, GA 30606-1861 | 2012-02-07 |
| 1073881991 | Heather C. Futral, Psy-d, LLC | Psychologist | 485 Huntington Rd, Athens, GA 30606-1861 | 2011-12-06 |
| 1598991002 | Cranial Life Force Center, Inc. | Chiropractor | 485 Huntington Rd, Suite 205, Athens, GA 30606-1861 | 2009-06-10 |
| 1407092026 | Darnyl R. Katzinger, Psy.d., Inc. | Community/Behavioral Health | 485 Huntington Rd, Suite 199, Athens, GA 30606-1861 | 2009-01-02 |
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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 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588199327 | Scott Edward Miller | Clinical Neuropsychologist | 352 Milledge Hall, University of Georgia, Athens, GA 30602-5875 | 2017-05-01 |
| 1972723971 | Ohio University Psychology and Social Work Clinic | Clinical Neuropsychologist | 1 Ohio University, Dept of Psychology, Porter Hall Room 002, Athens, OH 45701-2942 | 2007-05-01 |
| 1659430759 | Gary Steven Sarver | Clinical Neuropsychologist | 525 Richland Ave, Athens, OH 45701-3758 | 2006-12-06 |
| 1184717753 | M. Myles Schwartz | Clinical Neuropsychologist | 100 Longwood Drive, Athens, NY 12015 | 2006-10-02 |
| 1275982472 | Athens Concussion & Neuropsychology Center | Clinical Neuropsychologist | 575 Research Dr, Ste C, Athens, GA 30605-2779 | 2016-06-08 |
| 1942569090 | Matt F Butryn, Phd, LLC | Clinical Neuropsychologist | 1 Huntington Rd, Suite 802, Athens, GA 30606-7204 | 2012-05-10 |
| 1639158868 | Matt F Butryn | Clinical Neuropsychologist | 1 Huntington Rd, Suite 802, Athens, GA 30606-7204 | 2006-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614746 | Neuropsychology Associates of Georgia LLC | Clinical Neuropsychologist | 280 Interstate North Cir Se Ste 450, Atlanta, GA 30339-2451 | 2020-03-21 |
| 1023586773 | The Atlanta Psychology Group | Clinical Neuropsychologist | 3500 Piedmont Rd Ne Ste 740, Atlanta, GA 30305-1507 | 2018-11-09 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1316451719 | Zainab Delawalla | Clinical Neuropsychologist | 125 Clairemont Ave Ste 510, Decatur, GA 30030-2504 | 2017-11-21 |
| 1053850172 | S. Marilyn Miller | Clinical Neuropsychologist | 90 Fairlie St Nw, Suite 203, Atlanta, GA 30303-2127 | 2017-02-22 |
| 1457898371 | Tamara Weiss, M.d., LLC | Clinical Neuropsychologist | 1772 Century Blvd Ne Ste A, Atlanta, GA 30345-3396 | 2017-01-30 |
| 1689048076 | Laura Blackwell | Clinical Neuropsychologist | 5455 Meridian Marks Rd Ste 180, Atlanta, GA 30342-4716 | 2015-11-23 |
| 1003205741 | Lifespan Psychology, P.C. | Clinical Neuropsychologist | 98 Voorhees Rd E, Hamilton, GA 31811-5671 | 2015-01-19 |
| 1215326160 | Tristan Young | Clinical Neuropsychologist | 1276 Mcconnell Dr Ste C, Decatur, GA 30033-3506 | 2015-01-15 |
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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.