Nancy L Ogletree, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY001903 Issued in GA

Practice address

421 Atlantic Dr
St Simons Island, GA 31522-1373

Phone

(912) 638-9687

Fax

(912) 638-9514

NPI assigned

Nov 5, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Georgia Psychological Services PC

  • Clinical Psychologist
  • Brunswick, GA
  • NPI 1083914881
  NPD (past) Authorized official

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326127762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 ATLANTIC DR",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221373",
            "telephone_number": "912-638-9687",
            "fax_number": "912-638-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 ATLANTIC DR",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221373",
            "telephone_number": "912-638-9687",
            "fax_number": "912-638-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLETREE",
        "first_name": "NANCY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY001903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00528514A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Journey Support Services Inc
• New Path Counseling Services, LLC
• New Visions Inc.
• Nutrisource Nutritional Services, Inc.
• Shannon Dawn O'Quinn, PTA
• Rainey Reanna Olliff, PA-C
• Frances L Owen, M.D.
• Pacella Counseling LLC
• Gwen Jean Pacella, LCSW
• Mary Rainey Parker, PT

• Clinical Psychologist in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.