NPIMap

Organization Active NPI

Applied Psychological Services

  • Cognitive & Behavioral Psychologist
  • Woodstock, GA
National Provider Identifier
1366729519
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
1754 Issued in GA
Legal business name
APPLIED PSYCHOLOGICAL SERVICES
Practice address
1001 Weatherstone Pkwy
Ste 430
Woodstock, GA 30188-4495
Phone
(770) 592-0150
Fax
(770) 592-0971
NPI assigned
Nov 15, 2011
Last updated
Nov 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Dr. Georgia C Smith, PSY.D.NPI 1760483309
Title
President
Phone
(770) 592-0150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 1754 GA Primary

Addresses

Primary practice location

1001 Weatherstone Pkwy
Ste 430
Woodstock, GA 30188-4495

Mailing address

1001 Weatherstone Pkwy
Ste 430
Woodstock, GA 30188-4495
Phone (770) 592-0150

Other identifiers 1

IdentifierTypeStateIssuer
000583921AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1366729519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WEATHERSTONE PKWY",
            "address_2": "STE 430",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884495",
            "telephone_number": "770-592-0150",
            "fax_number": "770-592-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WEATHERSTONE PKWY",
            "address_2": "STE 430",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884495",
            "telephone_number": "770-592-0150",
            "fax_number": "770-592-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-592-0150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "1754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000583921A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.