First Step Pediatric Psychology Consultants, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PY003365 Issued in GA

Legal business name

FIRST STEP PEDIATRIC PSYCHOLOGY CONSULTANTS, LLC

Practice address

1415 Highway 85 N Ste 310-222
Fayetteville, GA 30214-7738

Phone

(678) 462-5478

NPI assigned

May 26, 2010

Last updated

May 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany Gilmore Randell, PSY.D.

Title

Ceo/Licensed Psychologist

Phone

(678) 462-5478

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1306165634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 85 N STE 310-222",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147738",
            "telephone_number": "678-462-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 85 N STE 310-222",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147738",
            "telephone_number": "678-462-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEP PEDIATRIC PSYCHOLOGY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "RANDELL",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "GILMORE",
        "authorized_official_title_or_position": "CEO/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "678-462-5478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "PY003365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul David Feldman, M.D.
• Samantha Jo Fikes, NP
• Jessica Finley, DC
• Rhandi Elizabeth Finley, MS,CCC-SLP
• First Option Services
• Albert B Fisher, LPC
• Nikki Fisher
• Catrina Fleming
• Louis James Flohr, MA LPC
• Flourish Integrative Therapy

• Community/Behavioral Health Agency in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.