Adelle Burnsed-Geffen, PH.D.
Organization Active NPI Clinical Psychologist · Savannah, GA
NPI 1235308545 · NPPES record last updated Jun 3, 2024
Key facts
- NPI
- 1235308545
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0958 (GA)
- Legal business name
- ADELLE BURNSED-GEFFEN, PH.D.
- Practice address
- 7203 Hodgson Memorial Dr
Savannah, GA 31406-1504 - Phone
- (912) 354-7250
- NPI assigned
- Feb 21, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Adelle Burnsed-Geffen, PH.D
- Title
- Owner
- Phone
- (912) 354-7250
Practitioners 1
-
Adelle Burnsed-Geffen, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040526000639 | GA | Part B Supplier - Clinic/Group Practice | 7911988928 |
Receives reassigned benefits from 1 practitioner Practice locations: Savannah, GA |
National Provider Directory
Locations
7203 Hodgson Memorial Dr
Ste C
Savannah, GA 31406
Phone (912) 354-7250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 0958 | GA | Yes |
Addresses
Primary practice location
7203 Hodgson Memorial Dr
Savannah, GA 31406-1504
Mailing address
7203 Hodgson Memorial Dr
Savannah, GA 31406-1504
Phone (912) 354-7250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300023708A | Medicaid | GA |
Other names
- Psychological Resource Center
Other providers in Savannah, GA
- Sarah Adams
- Sarah Dempsey Adams
- Zachary Adams
- Gretchen Adamski
- Debra Addy
- Adegoke O Adeniji
- Abdul Razaq Adeniyi
- John Mark Adent
- Kelli Adger
- Chinaza C. Adiele
All providers in Savannah, GA · Clinical Psychologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.