Individual provider Active NPI

Daniel A. Bochner, PSYD

  • Psychologist
  • Savannah, GA
National Provider Identifier
1104987320
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY002372 Issued in GA
Practice address
4849 Paulsen St Ste 102
Savannah, GA 31405-4424
Phone
(912) 600-8800
Fax
(912) 662-1817
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY002372 GA Primary

Addresses

Primary practice location

4849 Paulsen St Ste 102
Savannah, GA 31405-4424

Mailing address

4849 Paulsen St Ste 102
Savannah, GA 31405-4424
Phone (912) 600-8800

Other identifiers 1

IdentifierTypeStateIssuer
00884947BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110201000374 GA Practitioner - Clinical Psychologist 2163601527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLC 612 clinicians

Practice addresses (Care Compare)

275 Country Club Dr
Stockbridge, GA 30281-7349
Phone (770) 474-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Mar 6, 2020 Accepting new patients

Locations

3300 Old Milton Pkwy
Ste 175
Alpharetta, GA 30005
Phone (470) 568-2010

1202 Town Park Ln
Ste 300
Evans, GA 30809
Phone (706) 210-8855

4849 Paulsen St
Ste 209
Savannah, GA 31405
Phone (912) 600-8800

4849 Paulsen St
Ste 102
Savannah, GA 31405
Phone (912) 600-8800

322 Stephenson Ave
Ste B
Savannah, GA 31405
Phone (912) 351-5050

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

275 Country Club Dr
Stockbridge, GA 30281
Phone (770) 474-8400

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.danielbochner@143219.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1104987320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 PAULSEN ST STE 102",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054424",
            "telephone_number": "912-600-8800",
            "fax_number": "912-662-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 PAULSEN ST STE 102",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054424",
            "telephone_number": "912-600-8800",
            "fax_number": "912-662-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCHNER",
        "first_name": "DANIEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00884947B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.