Christopher Awosika, PSY.D.
Individual provider Active NPI Clinical Psychologist · Decatur, GA
NPI 1386016301 · NPPES record last updated Oct 29, 2015
Key facts
- NPI
- 1386016301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY003557 (GA)
- Practice address
- 2848 Vining Ridge Ter
Decatur, GA 30034-7500 - Phone
- (937) 408-3015
- NPI assigned
- Oct 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003557 | GA | MD | Clinical Psychologist |
| 626 | WY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals of California | Past | Accepting new patients |
Interoperability endpoints
- christopher.awosika.1@30520.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY003557 | GA | Yes |
Addresses
Primary practice location
2848 Vining Ridge Ter
Decatur, GA 30034-7500
Mailing address
2848 Vining Ridge Ter
Decatur, GA 30034-7500
Phone (937) 408-3015
Other providers in Decatur, GA
- Avondale Health Services Inc
- Avondale Health Services Inc.
- Avondale Health Services Inc.
- Mukhtar O Awad
- Aweh Support
- Theresa Awuah
- Lizbeth Guadalupe Ayala
- Shynalee Natividad Ayala
- Allison Ruth Ayers
- Karen Ayers
All providers in Decatur, GA · Clinical Psychologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.