Active NPI
Servicorp Resource Center, Inc.
- Psychologist
- Augusta, GA
National Provider Identifier
1396012852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 020772253
- 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, INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
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.