Active NPI
Southeastern Health Services, Inc.
- Health Psychologist
- Saint Simons Island, GA
National Provider Identifier
1295955680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- License
- PSY001838
- Legal business name
- SOUTHEASTERN HEALTH SERVICES, INC.
- Practice address
- 1624 Frederica Rd
Suite 3
Saint Simons Island, GA 31522-2506 - Phone
- (912) 634-1677
- Fax
- (912) 634-1677
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deanna Jane Hart, M.S.W.
- Title
- President
- Phone
- (904) 280-4491
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY001838 | GA | |
| Psychologist | 103T00000X | PSY001838 | GA | |
| Adult Development & Aging Psychologist | 103TA0700X | PSY001838 | GA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY001838 | GA | |
| Clinical Psychologist | 103TC0700X | PSY001838 | GA | |
| Counseling Psychologist | 103TC1900X | PSY001838 | GA | |
| Health Psychologist | 103TH0004X | PSY001838 | GA | Primary |
| Health Service Psychologist | 103TH0100X | PSY001838 | GA | |
| Group Psychotherapy Psychologist | 103TP2701X | PSY001838 | GA | |
| Rehabilitation Psychologist | 103TR0400X | PSY001838 | GA |
Addresses
Primary practice location
1624 Frederica Rd
Suite 3
Saint Simons Island, GA 31522-2506
Mailing address
1624 Frederica Rd
Suite 3
Saint Simons Island, GA 31522-2506
Phone (912) 634-1677
National Provider Directory
National Provider DirectoryLocations
1624 Frederica Rd
Ste 3
Saint Simons Island, GA 31522
Phone (912) 634-1677
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Saint Simons Island, GA
- NPI 1598749160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1295955680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 FREDERICA RD",
"address_2": "SUITE 3",
"city": "SAINT SIMONS ISLAND",
"state": "GA",
"postal_code": "315222506",
"telephone_number": "912-634-1677",
"fax_number": "912-634-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 FREDERICA RD",
"address_2": "SUITE 3",
"city": "SAINT SIMONS ISLAND",
"state": "GA",
"postal_code": "315222506",
"telephone_number": "912-634-1677",
"fax_number": "912-634-1677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "DEANNA",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-280-4491",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.S.W."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "GA",
"license": "PSY001838",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "GA",
"license": "PSY001838",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": "GA",
"license": "PSY001838",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "GA",
"license": "PSY001838",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY001838",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "GA",
"license": "PSY001838",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health",
"state": "GA",
"license": "PSY001838",
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": "GA",
"license": "PSY001838",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": "GA",
"license": "PSY001838",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Rehabilitation",
"state": "GA",
"license": "PSY001838",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Simons Island, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.