NPIMap

Organization Active NPI

Performance Psychology

  • Psychologist
  • Athens, GA
National Provider Identifier
1356527337
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
GAPSY002866 Issued in GA
Legal business name
PERFORMANCE PSYCHOLOGY
Practice address
1150 S Milledge Ave
Suite 4
Athens, GA 30605-6723
Phone
(706) 340-5870
NPI assigned
Jan 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Authorized official

Name
Dr. Alexander Barnett Cohen, PHDNPI 1528184561
Title
President
Phone
(706) 340-5870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X GAPSY002866 GA Primary

Addresses

Primary practice location

1150 S Milledge Ave
Suite 4
Athens, GA 30605-6723

Mailing address

1150 S Milledge Ave
Suite 4
Athens, GA 30605-6723
Phone (706) 340-5870

Other names 1

  • Counseling and Assessment Doing business as

National Provider Directory

National Provider Directory

Locations

1150 S Milledge Ave
Ste 4
Athens, GA 30605
Phone (706) 340-5870

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1356527337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S MILLEDGE AVE",
            "address_2": "SUITE 4",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306056723",
            "telephone_number": "706-340-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S MILLEDGE AVE",
            "address_2": "SUITE 4",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306056723",
            "telephone_number": "706-340-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "BARNETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-340-5870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "GAPSY002866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling and Assessment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.