Organization Active NPI

Adelle Burnsed-Geffen, PH.D.

Doing business as Psychological Resource Center

  • Clinical Psychologist
  • Savannah, GA
National Provider Identifier
1235308545
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0958 Issued in GA
Legal business name
ADELLE BURNSED-GEFFEN, PH.D.
Doing business as
Psychological Resource Center
Practice address
7203 Hodgson Memorial Dr
Savannah, GA 31406-1504
Phone
(912) 354-7250
NPI assigned
Feb 21, 2008
Last updated
Jun 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Dr. Adelle Burnsed-Geffen, PH.DNPI 1407978968
Title
Owner
Phone
(912) 354-7250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0958 GA Primary

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 names 1

  • Psychological Resource Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040526000639 GA Part B Supplier - Clinic/Group Practice 7911988928 Receives reassigned benefits from 1 practitioner
Practice locations: Savannah, GA

National Provider Directory

National Provider Directory

Locations

7203 Hodgson Memorial Dr
Savannah, GA 31406
Phone (912) 352-9356

7203 Hodgson Memorial Dr
Ste C
Savannah, GA 31406
Phone (912) 354-7250

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1235308545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7203 HODGSON MEMORIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061504",
            "telephone_number": "912-354-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7203 HODGSON MEMORIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061504",
            "telephone_number": "912-354-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELLE BURNSED-GEFFEN, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "BURNSED-GEFFEN",
        "authorized_official_first_name": "ADELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-354-7250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "0958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychological Resource Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.