Active NPI
Roosevelt's Character Development Center
- Cognitive & Behavioral Psychologist
- Statesboro, GA
National Provider Identifier
1083070718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- Legal business name
- ROOSEVELT'S CHARACTER DEVELOPMENT CENTER
- Practice address
- 119 S College St
Statesboro, GA 30458-5202 - Phone
- (912) 541-2809
- NPI assigned
- Jan 11, 2016
- Last updated
- Jan 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Roosevelt Cone Jr.
- Title
- Owner
- Phone
- (912) 541-2809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | NU | Primary |
Addresses
Primary practice location
119 S College St
Statesboro, GA 30458-5202
Mailing address
119 S College St
Statesboro, GA 30458-5202
Phone (912) 541-2809
Other names 1
- RCDC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452470400000",
"number": "1083070718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 S COLLEGE ST",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304585202",
"telephone_number": "912-541-2809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 S COLLEGE ST",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304585202",
"telephone_number": "912-541-2809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOSEVELT'S CHARACTER DEVELOPMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-11",
"last_updated": "2016-01-11",
"status": "A",
"authorized_official_last_name": "CONE",
"authorized_official_first_name": "ROOSEVELT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-541-2809",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RCDC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.