Statesboro Psychiatric Associates

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

STATESBORO PSYCHIATRIC ASSOCIATES

Practice address

116 Hill Pond LN
Statesboro, GA 30458

Phone

(912) 489-1629

Fax

(912) 489-1630

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Lichtman

Title

Office Manager

Phone

(912) 489-1629

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie S. Baker

  • Professional Counselor
  • Statesboro, GA
  • NPI 1417276536
  NPD (past)
• K. Nikki Barefoot, PSY.D.

  • Psychologist
  • Sandy Springs, GA
  • NPI 1194157529
  NPD (past)
• Kimberly Mi-Suk Brauda, LPC

  • Professional Counselor
  • Statesboro, GA
  • NPI 1700218179
  NPD (past)
• Olufowobi Gbadebo, MD

  • Child & Adolescent Psychiatry Physician
  • Statesboro, GA
  • NPI 1205924289
  NPD (past)
• Margaret F Harris, PA-C, MPH

  • Physician Assistant
  • Statsboro, GA
  • NPI 1114042082
  NPD (past)
• Michael Stephen Lichtman, MD

  • Psychiatry Physician
  • Statesboro, GA
  • NPI 1700901980
  NPD (past)
• Randy Gordon Read, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Statesboro, GA
  • NPI 1134795214
  NPD (past)
• Janet Kathleen Scott, LPC

  • Professional Counselor
  • Statesboro, GA
  • NPI 1982141834
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083830400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HILL POND LN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 HILL POND LN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-489-1629",
            "fax_number": "912-489-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESBORO PSYCHIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LICHTMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-489-1629"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I DON'T KNOW",
            "identifier": "I DON'T KNOW",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Statesboro Oral and Maxillofacial Surgery, Inc.
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• Statesboro Pediatric Dentistry, LLC
• Statesboro Physical Therapy Services Inc
• Statesboro Plastic Surgery
• Statesboro Trails of Journey LLC
• Statesboro Urologic Clinic, PC
• Stattesboro Orthopaedic Center, Inc
• Sarah Ellen Elza Stephens, M.D.
• Minette M Sterling-Ugorji, RPH

• Psychiatry Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.