Organization Active NPI

Servicorp Resource Center, Inc.

  • Psychologist
  • Augusta, GA
National Provider Identifier
1396012852
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
020772253 Issued in GA
Legal business name
SERVICORP RESOURCE CENTER, INC.
Practice address
1904 Highland Avenue
Augusta, GA 30904
Phone
(706) 755-2095
Fax
(706) 755-2095
NPI assigned
Nov 28, 2011
Organization subpart
Yes
Parent organization
SERVICORP RESOURCE CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Mrs. Patricia Price Francis, N/A
Title
Director of Administration
Phone
(706) 755-2095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 020772253 GA Primary

Addresses

Primary practice location

1904 Highland Avenue
Augusta, GA 30904

Mailing address

1904 Highland Ave
Augusta, GA 30904-5305
Phone (706) 755-2095

Other names 1

  • SERVICORP COUNSELING SERVICES Doing business as

National Provider Directory

National Provider Directory
Part of
Servicorp Resource Center Inc

Locations

1904 Highland Ave
Augusta, GA 30904
Phone (706) 755-2095

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1396012852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 HIGHLAND AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045305",
            "telephone_number": "706-755-2095",
            "fax_number": "706-755-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 HIGHLAND AVENUE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "706-755-2095",
            "fax_number": "706-755-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICORP RESOURCE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERVICORP RESOURCE CENTER, INC",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "PRICE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "706-755-2095",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "020772253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERVICORP COUNSELING SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.