PEDIATRIC & ADOLESCENT PSYCHOLOGY (NPI# 1891966925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891966925 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC & ADOLESCENT PSYCHOLOGY |
| Other Organization Name | SAVANNAH CHILD STUDY CENTER |
| Practice Address |
9100 White Bluff Rd Suite 401 Savannah GA 31406-4668 |
| Practice Telephone | 9129610508 |
| Practice Fax Number | 9129611595 |
| Mailing Telephone | 9129610508 |
| Mailing Fax Number | 9129611595 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | DR. THOMAS K PEDIGO (OWNER) |
| Authorized Official Telephone | 9129610508 |
| Authorized Official Credential | ED.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY002145 | GA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Savannah Child Study Center | Doing Business As Name - Organization |
| Street Address |
9100 WHITE BLUFF RD SUITE 401 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-4668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093700205 | Nightingale Ers Inc | Prosthetic/Orthotic Supplier | 9100 White Bluff Rd, Ste 301, Savannah, GA 31406-4668 | 2005-09-14 |
| 1134595325 | Kesha M King | Physical Therapist | 9100 White Bluff Rd, Suite 403, Savannah, GA 31406-4668 | 2015-08-11 |
| 1356727473 | Southern Acupuncture Associates, LLC | Acupuncturist | 9100 White Bluff Rd, Suite 601, Savannah, GA 31406-4668 | 2015-07-31 |
| 1801298781 | Jasmine D Polk | Physical Therapist | 9100 White Bluff Rd, Suite 403, Savannah, GA 31406-4668 | 2014-09-22 |
| 1902205693 | Lori Jane Jackson | Speech-Language Pathologist | 9100 White Bluff Rd, Suite 202, Savannah, GA 31406-4668 | 2014-08-19 |
| 1689086183 | Sandra Mullis | Speech-Language Pathologist | 9100 White Bluff Rd, Suite 202, Savannah, GA 31406-4668 | 2014-06-02 |
| 1710307004 | Annette Gubert | Social Worker | 9100 White Bluff Rd, Ste 401, Savannah, GA 31406-4668 | 2014-04-24 |
| 1205261757 | Anne Campbell Goncharenko | Speech-Language Pathologist | 9100 White Bluff Rd, Suite 202, Savannah, GA 31406-4668 | 2013-09-03 |
| 1952733941 | Amy Fleming Daniel | Speech-Language Pathologist | 9100 White Bluff Rd, 202, Savannah, GA 31406-4668 | 2013-08-01 |
| 1760821524 | Catherine Lynn Neal | Physical Therapist | 9100 White Bluff Rd, Suite 403, Savannah, GA 31406-4668 | 2013-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164559738 | Thomas K Pedigo | Psychologist | 7505 Waters Ave Ste D5, Savannah, GA 31406-3818 | 2007-02-28 |
| 1295800373 | Mahesh Gupta | Psychologist | 310 Benefield Dr, Savannah, GA 31406-2604 | 2006-11-22 |
| 1861090102 | Sbp Integrated Care LLC | Psychologist | 310 Eisenhower Dr Ste 16, Savannah, GA 31406-2632 | 2020-10-09 |
| 1023668472 | Ashley Badger | Psychologist | 130 Tibet Ave, Suite 103, Savannah, GA 31406 | 2019-09-18 |
| 1265957823 | Savannah Behavioral Pediatrics, LLC | Psychologist | 9100 White Bluff Rd Ste 601, Savannah, GA 31406-4674 | 2017-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538693254 | Rachel Yosick | Psychologist | 520 Wembley Cir, Sandy Springs, GA 30328-6753 | 2017-04-19 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1245655893 | Tiffany Gilmore Randell | Psychologist | 101 Devant Street, Office 401, Fayetteville, GA 30214 | 2014-02-19 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1720409493 | Tonya Favors | Psychologist | 311 S Lee St, Apt C, Americus, GA 31709-3971 | 2013-12-26 |
| 1912336546 | Francine Adams | Psychologist | 324 Trace Ln, Lawrenceville, GA 30046-2896 | 2013-11-04 |
| 1447542691 | Erin Marie Jones | Psychologist | 1256 Briarcliff Rd Ne Ste 322e, Atlanta, GA 30306-2636 | 2011-05-06 |
| 1164729901 | Tiffany Whitworth | Psychologist | 4139 Hospital Dr Ne, Covington, GA 30014-2565 | 2011-02-14 |
| 1548573264 | Kimberley Blaker Saye | Psychologist | 4695 Mahonia Way Nw, Acworth, GA 30102-3575 | 2010-07-22 |
| 1316269350 | Caitlin Herzinger Delfs | Psychologist | 4994 Lower Roswell Rd Ste 10, Marietta, GA 30068-4332 | 2010-02-18 |
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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.