Organization Active NPI

Sydney Felker-Ross, PH.D. LLC

  • Counseling Psychologist
  • Athens, GA
National Provider Identifier
1356738827
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
SYDNEY FELKER-ROSS, PH.D. LLC
Practice address
1150 S Milledge Ave Ste 3
Athens, GA 30605-6723
Phone
(706) 254-7194
Fax
(706) 955-6858
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Sydney Felker-Ross, PH.D.
Title
Owner
Phone
(706) 254-7194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

1150 S Milledge Ave Ste 3
Athens, GA 30605-6723

Mailing address

1150 S Milledge Ave Ste 3
Athens, GA 30605-6723
Phone (706) 254-7194

National Provider Directory

National Provider Directory

Locations

1150 S Milledge Ave
Ste 3
Athens, GA 30605
Phone (706) 254-7194

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": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1356738827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S MILLEDGE AVE STE 3",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306056723",
            "telephone_number": "706-254-7194",
            "fax_number": "706-955-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S MILLEDGE AVE STE 3",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306056723",
            "telephone_number": "706-254-7194",
            "fax_number": "706-955-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYDNEY FELKER-ROSS, PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "FELKER-ROSS",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-254-7194",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 18, 2022; 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.