Savannah Behavioral Pediatrics, LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY003639 Issued in GA

Legal business name

SAVANNAH BEHAVIORAL PEDIATRICS, LLC

Practice address

9100 White Bluff Rd Ste 601
Savannah, GA 31406-4674

Phone

(912) 436-6789

Fax

(912) 436-6835

NPI assigned

Aug 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kristi Hofstadter-Duke, PHDNPI 1215240775

Title

Owner

Phone

(912) 436-6789

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kristi Leigh Hofstadter-Duke, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Savannah, GA
  • NPI 1215240775
  NPD Authorized official

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1265957823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RAMSGATE RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314193215",
            "telephone_number": "912-658-5883",
            "fax_number": "912-436-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WHITE BLUFF RD STE 601",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064674",
            "telephone_number": "912-436-6789",
            "fax_number": "912-436-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH BEHAVIORAL PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "HOFSTADTER-DUKE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-436-6789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "PSY003639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Child & Adolescent Psychologist in Savannah, GA
• Providers in Savannah, GA by specialty
• Clinical Child & Adolescent Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.