Grace Psychotherapy & Psychological Assesment Services of North Ga

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY003032 Issued in GA

Legal business name

GRACE PSYCHOTHERAPY & PSYCHOLOGICAL ASSESMENT SERVICES OF NORTH GA

Practice address

1 Huntington Rd
Suite 801
Athens, GA 30606-7204

Phone

(706) 552-0450

Fax

(706) 850-7211

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. John F Grace, PSY,D.NPI 1487799664

Title

Owner

Phone

(706) 552-0450

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John F Grace, PSY.D

  • Psychologist
  • Athens, GA
  • NPI 1487799664
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1093062606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD",
            "address_2": "SUITE 801",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067204",
            "telephone_number": "706-552-0450",
            "fax_number": "706-850-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD",
            "address_2": "SUITE 801",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067204",
            "telephone_number": "706-552-0450",
            "fax_number": "706-850-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PSYCHOTHERAPY & PSYCHOLOGICAL ASSESMENT SERVICES OF NORTH GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-552-0450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY,D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "476047042A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Francine Gottlieb, PHD
• Narayana Gowda, MD
• Daniel Wade Gowder, M.D.
• Gowdie Family Care Center, LLC
• Stalina Cine Gowdie, M.D.
• John F Grace, PSY.D
• Gay M. Gragson
• Kelly McElreath Graham, PA-C
• Candice Shadel Granger, COTA/L
• Beverly Anne Grant, LPC, CAADC

• Clinical Psychologist in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.