NPIMap

Organization Active NPI

Project Rebound Inc.

  • Psychologist
  • Columbus, GA
National Provider Identifier
1104153451
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
062999 Issued in GA
Legal business name
PROJECT REBOUND INC.
Practice address
1170 Brown Ave Street B
Columbus, GA 31906
Phone
(706) 221-4830
NPI assigned
Nov 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Dr. J. Allen Hud, M.D.
Title
President
Phone
(706) 221-4830

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 062999 GA Primary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X CSW003530 GA

Addresses

Primary practice location

1170 Brown Ave Street B
Columbus, GA 31906

Mailing address

2222 Francis St
Columbus, GA 31906-2512
Phone (706) 221-4830

National Provider Directory

National Provider Directory
Tax ID family
Project Rebound Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1170 Brown Ave
#B
Columbus, GA 31906
Phone (706) 221-4830

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1104153451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 FRANCIS ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062512",
            "telephone_number": "706-221-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 BROWN AVE STREET B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31906",
            "telephone_number": "706-221-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT REBOUND INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "HUD",
        "authorized_official_first_name": "J. ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-221-4830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "062999",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "GA",
            "license": "CSW003530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.