NPIMap

Organization Active NPI

Zephyr Meadows, PC

  • Clinical Psychologist
  • Fayetteville, GA
National Provider Identifier
1396965109
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY002609 Issued in GA
Legal business name
ZEPHYR MEADOWS, PC
Practice address
170 Whitney St
Fayetteville, GA 30214-2012
Phone
(770) 843-9026
Fax
(678) 817-0738
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wendy Bailey, PH.D.
Title
Chief Psychologist
Phone
(770) 843-9026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY002609 GA Primary

Addresses

Primary practice location

170 Whitney St
Fayetteville, GA 30214-2012

Mailing address

170 Whitney St
Fayetteville, GA 30214-2012
Phone (770) 843-9026

National Provider Directory

National Provider Directory
Tax ID family
Zephyr Meadows PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396965109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WHITNEY ST",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142012",
            "telephone_number": "770-843-9026",
            "fax_number": "678-817-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WHITNEY ST",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142012",
            "telephone_number": "770-843-9026",
            "fax_number": "678-817-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEPHYR MEADOWS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CHIEF PSYCHOLOGIST",
        "authorized_official_telephone_number": "770-843-9026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.