Active NPI
A Melton Strozier Jr., PHD
- Clinical Psychologist
- Macon, GA
National Provider Identifier
1194803528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY001162
- Practice address
- 655 First Street
Macon, GA 31201 - Phone
- (478) 301-5930
- Fax
- (478) 301-5932
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY001162 | GA | Primary |
Addresses
Primary practice location
655 First Street
Macon, GA 31201
Mailing address
PO Box 4947
Macon, GA 31208-4947
Phone (478) 301-5930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000493941B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY001162 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1194803528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4947",
"city": "MACON",
"state": "GA",
"postal_code": "312084947",
"telephone_number": "478-301-5930",
"fax_number": "478-301-5932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 FIRST STREET",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-301-5930",
"fax_number": "478-301-5932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROZIER",
"first_name": "A",
"middle_name": "MELTON",
"name_suffix": "Jr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY001162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000493941B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.