Center for Stress Management & Psychological Services (the Center)

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CENTER FOR STRESS MANAGEMENT & PSYCHOLOGICAL SERVICES (THE CENTER)

Practice address

3825 Jodeco Rd
McDonough, GA 30253-5423

Phone

(678) 961-3871

NPI assigned

Jan 22, 2019

Organization subpart

No

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

Authorized official

Name

Damafing Keita Thomas, PHDNPI 1780840082

Title

Owner/Founder

Phone

(678) 977-1532

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Damafing Keita Thomas, PH.D

  • Counseling Psychologist
  • McDonough, GA
  • NPI 1780840082

  Clinical

  Medicare reassignment NPD Authorized official
• Karen Elizabeth Landry, LPC

  • Professional Counselor
  • McDonough, GA
  • NPI 1548455595
  NPD (past)

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1124592332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 DEER CROSSING WAY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302365199",
            "telephone_number": "678-977-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 JODECO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535423",
            "telephone_number": "678-961-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR STRESS MANAGEMENT & PSYCHOLOGICAL SERVICES (THE CENTER)",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DAMAFING",
        "authorized_official_middle_name": "KEITA",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "678-977-1532",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.