John C McCormack PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY000601 Issued in GA

Legal business name

JOHN C MCCORMACK PHD PC

Practice address

2301 Wrightsboro Rd
Augusta, GA 30904-6219

Phone

(706) 733-7029

Fax

(706) 733-1376

NPI assigned

Jan 5, 2007

Last updated

Dec 18, 2007By 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. John Collins McCormack, PHD

Title

President

Phone

(706) 733-7029

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1306993795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 WRIGHTSBORO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046219",
            "telephone_number": "706-733-7029",
            "fax_number": "706-733-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 WRIGHTSBORO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046219",
            "telephone_number": "706-733-7029",
            "fax_number": "706-733-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C MCCORMACK PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-733-7029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY000601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.