PREMIER PSYCHOLOGICAL CENTER, INC. (NPI# 1962645796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962645796 |
Entity Type | Organization |
Organization Name | PREMIER PSYCHOLOGICAL CENTER, INC. |
Practice Address |
2268 Mount Zion Rd Jonesboro GA 30236-2528 |
Practice Telephone | 7706033400 |
Practice Fax Number | 7706033404 |
Mailing Telephone | 7706033400 |
Mailing Fax Number | 7706033404 |
Enumeration Date | 2009-04-09 |
Last Update Date | 2012-06-21 |
Authorized Official Name | DR. VALERIE MCADAMS (PSYCHOLOGIST) |
Authorized Official Telephone | 7706033400 |
Authorized Official Credential | PSY.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY002435 | GA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 824394587A | 05 | |
GA | 000884078B | 05 | |
GA | 000900589D | 05 |
Street Address |
2268 MOUNT ZION RD |
City | JONESBORO |
State | GA |
Zip Code | 30236-2528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992951289 | Valerie L Mcadams | Psychologist | 2268 Mount Zion Rd, Jonesboro, GA 30236-2528 | 2008-08-18 |
1497009567 | Eunece Greer | Counselor | 2268 Mount Zion Rd, Jonesboro, GA 30236-2528 | 2012-10-29 |
1770830663 | Kelisa Gill-volson | Counselor | 2268 Mount Zion Rd, Jonesboro, GA 30236-2528 | 2012-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
Find all providers in zip 30236 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992951289 | Valerie L Mcadams | Psychologist | 2268 Mount Zion Rd, Jonesboro, GA 30236-2528 | 2008-08-18 |
1336184183 | Laneel Lovelace | Psychologist | 615 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-06-17 |
1538121918 | Thomas C. Burns | Psychologist | 212 Arrowhead Blvd, Jonesboro, GA 30236-1102 | 2006-04-03 |
1235542150 | Nea Neuropsychology, Pllc | Psychologist | 304 Southwest Sq, Jonesboro, AR 72401-5984 | 2014-06-09 |
1740625177 | Gilchrist Psychological Services LLC | Psychologist | 522 W Washington Ave, Jonesboro, AR 72401-2780 | 2013-04-29 |
1245574110 | Jeana Renee' Griffith | Psychologist | 2470 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2012-11-16 |
1851652218 | Melissa A Alves | Psychologist | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2012-06-01 |
1669701843 | Catherine Hubbard Terrell | Psychologist | 2912 King St, Jonesboro, AR 72401-5321 | 2009-12-16 |
1619024098 | Mark E. Cates | Psychologist | 1815 Pleasant Grove Rd, Jonesboro, AR 72401-7870 | 2007-01-05 |
1144398967 | M Elizabeth Huffstutter | Psychologist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2006-12-01 |
Find all providers in JONESBORO |
Please comment or provide details below to improve the information on PREMIER PSYCHOLOGICAL CENTER, INC..
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.