Inneraction Psychological Associates, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY000773 Issued in GA

Legal business name

INNERACTION PSYCHOLOGICAL ASSOCIATES, P.C.

Practice address

81 Crown Mountain PL
Suite C200
Dahlonega, GA 30533-1627

Phone

(706) 864-0186

Fax

(706) 864-0963

NPI assigned

May 15, 2006

Last updated

May 20, 2009By 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

Dr. Teressa F. Haeger, PH.D.NPI 1285840710

Title

Owner

Phone

(706) 864-0186

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Teressa Haeger, Ph.D. Former legal business name

Locations

Practitioners 1

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.

• Teressa F. Haeger, PH.D.

  • Clinical Psychologist
  • Dahlonega, GA
  • NPI 1285840710
  Authorized official Same address or phone

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1093766719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305330009",
            "telephone_number": "706-864-0186",
            "fax_number": "706-864-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 CROWN MOUNTAIN PL",
            "address_2": "SUITE C200",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331627",
            "telephone_number": "706-864-0186",
            "fax_number": "706-864-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERACTION PSYCHOLOGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "HAEGER",
        "authorized_official_first_name": "TERESSA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-864-0186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY000773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000680996D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000680996C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teressa Haeger, Ph.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.