SOUTHERN PSYCHOLOGICAL SERVICES (NPI# 1922266014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922266014 |
| Entity Type | Organization |
| Organization Name | SOUTHERN PSYCHOLOGICAL SERVICES |
| Practice Address |
1213 E Jackson St Thomasville GA 31792-4748 |
| Mailing Address |
Po Box 1403 Thomasville GA 31799-1403 |
| Practice Telephone | 2292281950 |
| Practice Fax Number | 2292281978 |
| Mailing Telephone | 2292281950 |
| Mailing Fax Number | 2292281978 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | DR. CONNIE SCHENK (PRESIDENT) |
| Authorized Official Telephone | 2292281950 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
2406 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1213 E JACKSON ST |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-4748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710050919 | Connie Schenk | Psychologist | 1213 E Jackson St, Thomasville, GA 31792-4748 | 2006-11-16 |
| 1811162431 | Pauline M Halle | Psychologist | 1213 E Jackson St, Thomasville, GA 31792-4748 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932720489 | Avs Consulting | Psychologist | 4015 S Cobb Dr Se Ste 265, Smyrna, GA 30080-6374 | 2020-05-06 |
| 1356492037 | James Edwin Stark | Psychologist | 1755 The Exchange Se, Suite 375, Atlanta, GA 30339-7400 | 2007-01-16 |
| 1639564271 | Colbi Sutton | Psychologist | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2015-03-31 |
| 1487059580 | Neurobehavioral Associates LLC | Psychologist | 639 13th St, Augusta, GA 30901-1007 | 2014-10-31 |
| 1063766467 | Rommys Alemania Beltran | Psychologist | 2662 Holcomb Bridge Rd, Suite 340, Alpharetta, GA 30022-6819 | 2012-11-07 |
| 1245476639 | Marc David Einhorn | Psychologist | 11755 Pointe Pl, Roswell, GA 30076-4656 | 2009-01-06 |
| 1609943240 | Kelly Leanne Farris | Psychologist | 3000 Schatulga Rd, Bldg. 5, Columbus, GA 31907-3117 | 2006-11-29 |
| 1629039813 | Dennis L Herendeen | Psychologist | 6130 Prestley Mill Rd, Suite A, Douglasville, GA 30134-2288 | 2006-03-29 |
| City | THOMASVILLE |
| Zip Code | 31792 |
Please comment or provide details below to improve the information on SOUTHERN PSYCHOLOGICAL SERVICES.
| 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.