The Eupatheia Center Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

THE EUPATHEIA CENTER INC

Practice address

664 Scranton Rd Ste 201
Brunswick, GA 31520-1947

Phone

(912) 285-1610

Fax

(912) 285-2595

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Brendan Clark Engen, PSYDNPI 1164558904

Title

President/Clinical Psychologist

Phone

(912) 816-0076

Specialties & licenses 2

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Brendan Clark Engen, PSY.D.

  • Clinical Psychologist
  • Brunswick, GA
  • NPI 1164558904
  Medicare reassignment NPD Authorized official
• Virginia Elizabeth Holm, LCSW

  • Clinical Social Worker
  • Brunswick, GA
  • NPI 1417195546
  NPD (past)

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1306010954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 SCRANTON RD STE 201",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201947",
            "telephone_number": "912-285-1610",
            "fax_number": "912-285-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 SCRANTON RD STE 201",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201947",
            "telephone_number": "912-285-1610",
            "fax_number": "912-285-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EUPATHEIA CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "ENGEN",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "912-816-0076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10032838",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "524588165A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000577585G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085726452A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9122852595",
            "affiliation": "N",
            "endpointDescription": "secure fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "data",
            "address_1": "108C Anderson Way",
            "city": "Brunswick",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315201601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ronnie Christopher Taylor, D.C.
• Wanda Taylor, RN
• Carol Temple, RN
• Karen Jean Terrell, NP-C
• The Brain and Spine Center of Southeast Ga
• The Medicine Cabinet of Brunswick, LLC
• The Nemours Foundation
• The Resiliency Institiute
• The Resiliency Institute, Inc
• The Sleep Professionals, Inc.

• Clinical Psychologist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.