Active NPI
Solursh Psychological Services
- Clinical Psychologist
- Augusta, GA
National Provider Identifier
1407041858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- SOLURSH PSYCHOLOGICAL SERVICES
- Practice address
- 2301 Wrightsboro Rd
Augusta, GA 30904-6219 - Phone
- (706) 733-7029
- Fax
- (706) 733-1376
- NPI assigned
- Sep 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Diane Sue Solursh, PHD.
- Title
- Owner
- Phone
- (706) 733-7029
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
2301 Wrightsboro Rd
Augusta, GA 30904-6219
Mailing address
2301 Wrightsboro Rd
Augusta, GA 30904-6219
Phone (706) 733-7029
National Provider Directory
National Provider DirectoryLocations
106 Srp Dr
Ste B
Evans, GA 30809
Phone (706) 842-6800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189382400000",
"number": "1407041858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 WRIGHTSBORO RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046219",
"telephone_number": "706-733-7029",
"fax_number": "706-733-1376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 WRIGHTSBORO RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046219",
"telephone_number": "706-733-7029",
"fax_number": "706-733-1376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLURSH PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-10",
"last_updated": "2007-09-10",
"status": "A",
"authorized_official_last_name": "SOLURSH",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-733-7029",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.