DR. PAMELA ANN TAYLOR (NPI# 1942299615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942299615 |
Entity Type | Individual |
Full Name | DR. PAMELA ANN TAYLOR |
Credential | PH.D. |
Practice Address |
1551 Jennings Mill Rd Suite 2000b Bogart GA 30622-2544 |
Mailing Address |
321 College Cir Athens GA 30605-3629 |
Practice Telephone | 7063726055 |
Practice Fax Number | 7063546972 |
Mailing Telephone | 7063726055 |
Mailing Fax Number | 7063546972 |
Enumeration Date | 2005-10-17 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103T00000X | Psychologist | PSY001827 | GA | Behavioral Health & Social Service Providers |
X | 103TC1900X |
Psychologist Specialization: Counseling |
PSY001827 | GA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | BCBSGA | 52818639 003 | 01 |
GA | AETNA | 0005479097 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346867876 | Pamela Taylor | Driver | 633 Oakwood Cir, Petersburg, VA 23805-9311 | 2020-06-30 |
1609401298 | Pamela Taylor | Early Intervention Provider Agency | 7611 S Crandon Ave, Chicago, IL 60649-4116 | 2020-03-04 |
1669016713 | Pamela Latrese Taylor | Nurse Practitioner | 3381 Brooklyns Way E, Semmes, AL 36575-6278 | 2019-11-01 |
1700432523 | Pamela Taylor | Licensed Vocational Nurse | 759 S 40th St Apt 3, Tacoma, WA 98418-4904 | 2019-08-16 |
1104309137 | Pamela Marie Taylor | Social Worker | 1 Florence St, Boston, MA 02131-3638 | 2018-09-14 |
1225554926 | Pamela Taylor | Clinic/Center | 402 E Bannister Rd Ste F, Kansas City, MO 64131-3019 | 2017-08-15 |
1689123341 | Pamela Sue Taylor | Physical Therapist | 3623 Lake Terrace Dr, Elk Grove, CA 95758-4631 | 2016-09-22 |
1134580897 | Pamela Taylor | Counselor | 241907 E State Route 397, Kennewick, WA 99337 | 2016-03-09 |
1285028340 | Pamela Taylor | Registered Nurse | 795 36th Street Se, Grand Rapids, MI 49501-2319 | 2015-03-26 |
1104220482 | Pamela E Taylor | Nurse Practitioner | 3975 7th Street Rd, Louisville, KY 40216-4103 | 2014-10-15 |
Street Address |
1551 JENNINGS MILL RD SUITE 2000B |
City | BOGART |
State | GA |
Zip Code | 30622-2544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134544117 | Families 4 Change, Inc. | Marriage & Family Therapist | 1551 Jennings Mill Rd, Suite 3100b, Bogart, GA 30622-2544 | 2014-02-27 |
1609209246 | Ingrid Knight, Rd and Associates, Inc. | Dietitian, Registered | 1551 Jennings Mill Rd, Ste 2900a, Bogart, GA 30622-2544 | 2013-08-19 |
1730317074 | Southern Home Care Services, Inc. | Home Health | 1551 Jennings Mill Rd, Suite 2700a, Bogart, GA 30622-2544 | 2009-06-25 |
1215181128 | Janet Stillman Martin | Psychologist | 1551 Jennings Mill Rd, Bogart, GA 30622-2552 | 2008-11-06 |
1497902480 | Debra Alvis, Ph.d., Inc | Community/Behavioral Health | 1551 Jennings Mill Rd, Suite 2000 B, Bogart, GA 30622-2544 | 2008-08-21 |
1881801181 | Virginia Mckenna | Counselor | 1551 Jennings Mill Rd, Resource Valley, Suite 1700-b, Bogart, GA 30622-2544 | 2007-05-17 |
1528182789 | Judy A. Bruckner, Ph.d., P. C. | Psychologist | 1551 Jennings Mill Rd, Suite 2000b, Bogart, GA 30622-2544 | 2007-03-16 |
1104924620 | Judy Bruckner | Psychologist | 1551 Jennings Mill Rd, Suite 2000b, Bogart, GA 30622-2544 | 2006-09-20 |
1356447106 | Margaret Coghill Reinberger | Physical Therapist | 1551 Jennings Mill Rd, #1700a, Bogart, GA 30622 | 2006-09-16 |
1104852706 | Athens Therapeutics | Physical Therapist | 1551 Jennings Mill Rd, Suite 1700a, Bogart, GA 30622-2544 | 2006-06-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780108266 | Catherine Colquitt | Specialist/Technologist | 1081 Rocky Branch Rd, Bogart, GA 30622 | 2017-07-27 |
1154864775 | Hampton Valley Health Center, Inc. | Chiropractor | 2881 Monroe Highway, Suite 701, Bogart, GA 30622 | 2016-11-30 |
1740298728 | Thomas W Mccormack Jr. | Psychiatry & Neurology | 1361 Jennings Mill Road, Building 200 Suite 201, Bogart, GA 30622 | 2006-08-04 |
1659308872 | Blue Laser Group | Ophthalmology | 1747 Langford Drive, Building 400, Suite 101, Bogart, GA 30622 | 2006-06-26 |
1225076821 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 1751 Meriweather Dr, Bogart, GA 30622 | 2006-06-03 |
1205837374 | Terrance L Hughes | Specialist | 1500 Langford Medical Dr., Bldg 200, Bogart, GA 30622 | 2005-08-10 |
1922590892 | Inside Out Therapy Services | Occupational Therapist | 1450 Eden Ave, Bogart, GA 30622 | 2018-06-05 |
1144517038 | Gentry Broach Tolbert | Nurse Practitioner | 1500 Langford Medical Drive, Bldg 200, Bogart, GA 30622 | 2011-06-30 |
1083736961 | Edward J Fisher Jr Md Inc | Psychiatry & Neurology | 1361 Jennings Mill Rd, Bldg 200 Ste 201, Bogart, GA 30622 | 2007-04-04 |
1760504641 | Andrew Philip Heidesch | Marriage & Family Therapist | 1361 Jennings Mill Road, Suite 201, Bogart, GA 30622 | 2007-04-04 |
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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 |
---|---|---|---|---|
1043382021 | Toni L Mason | Psychologist | 1361 Jennings Mill Rd, Suite 201, Bogart, GA 30622-2579 | 2006-11-14 |
1215181128 | Janet Stillman Martin | Psychologist | 1551 Jennings Mill Rd, Bogart, GA 30622-2552 | 2008-11-06 |
1528182789 | Judy A. Bruckner, Ph.d., P. C. | Psychologist | 1551 Jennings Mill Rd, Suite 2000b, Bogart, GA 30622-2544 | 2007-03-16 |
1104924620 | Judy Bruckner | Psychologist | 1551 Jennings Mill Rd, Suite 2000b, Bogart, GA 30622-2544 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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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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.