Organization Active NPI

Rhett J Puder, PHD, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, GA
National Provider Identifier
1366690729
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
3078 Issued in GA
Legal business name
RHETT J PUDER, PHD, LLC
Practice address
300 Hawthorne LN
Athens, GA 30606-2152
Phone
(706) 353-7648
Fax
(706) 353-7788
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Dr. Rhett J Puder, PHD
Title
Licensed Psychologist
Phone
(706) 353-7648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 3078 GA Primary

Addresses

Primary practice location

300 Hawthorne LN
Athens, GA 30606-2152

Mailing address

300 Hawthorne LN
Athens, GA 30606-2152
Phone (706) 353-7648

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1366690729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HAWTHORNE LN",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062152",
            "telephone_number": "706-353-7648",
            "fax_number": "706-353-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HAWTHORNE LN",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062152",
            "telephone_number": "706-353-7648",
            "fax_number": "706-353-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHETT J PUDER, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "PUDER",
        "authorized_official_first_name": "RHETT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "706-353-7648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "3078",
            "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 Aug 28, 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.