Augusta Center for Psychological Services, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

AUGUSTA CENTER FOR PSYCHOLOGICAL SERVICES, PC

Practice address

3643 Walton Way Ext
Augusta, GA 30909-4507

Phone

(706) 729-9595

NPI assigned

Mar 19, 2007

Last updated

Aug 22, 2020By 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. Thomas Edward Orr, PH.D.NPI 1407927791

Title

President

Phone

(706) 729-9595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Edward Orr, PH.D.

  • Clinical Psychologist
  • Augusta, GA
  • NPI 1407927791
  Medicare reassignment Care Compare group NPD Authorized official
• Darlene Klein, PHD

  • Clinical Psychologist
  • Augusta, GA
  • NPI 1255438446
  Medicare reassignment Care Compare group NPD
• Aubrey Lee Moore III, PH.D.

  • Psychologist
  • Augusta, GA
  • NPI 1093708737
  Medicare reassignment Care Compare group NPD
• Paul Andrew Walters III, PH.D.

  • Clinical Psychologist
  • Augusta, GA
  • NPI 1477546190
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346364635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2793",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309142793",
            "telephone_number": "706-729-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 WALTON WAY EXT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094507",
            "telephone_number": "706-729-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA CENTER FOR PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-729-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.