Active NPI
Graves Psychological Services
- Clinical Psychologist
- Thomasville, GA
National Provider Identifier
1083209712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- GRAVES PSYCHOLOGICAL SERVICES
- Practice address
- 319 N Stevens St
Thomasville, GA 31792-5464 - Phone
- (229) 221-3442
- Fax
- (855) 560-7664
- NPI assigned
- Mar 4, 2021
- 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
- Montserrat Mitchell Graves
- Title
- Manager
- Phone
- (229) 221-3442
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
319 N Stevens St
Thomasville, GA 31792-5464
Mailing address
PO Box 231
Thomasville, GA 31799-0231
Phone (229) 221-3442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003110133C | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
14538 US Highway 19 S
Thomasville, GA 31757
Phone (229) 233-6677
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Thomasville, GA
- NPI 1417261231
-
- Clinical Social Worker
- Valdosta, GA
- NPI 1871103192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617062400000",
"number": "1083209712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 231",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317990231",
"telephone_number": "229-221-3442",
"fax_number": "855-560-7664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 N STEVENS ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925464",
"telephone_number": "229-221-3442",
"fax_number": "855-560-7664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAVES PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-04",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "MONTSERRAT",
"authorized_official_middle_name": "MITCHELL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "229-221-3442"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003110133C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.