Adelle Burnsed-Geffen, PH.D.
Individual provider Active NPI Clinical Psychologist · Savannah, GA
NPI 1407978968 · NPPES record last updated Jun 3, 2024
Key facts
- NPI
- 1407978968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0958 (GA)
- Practice address
- 7203 Hodgson Memorial Dr
Savannah, GA 31406-1504 - Phone
- (912) 354-7250
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1984
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7203 Hodgson Memorial Dr
Suite C
Savannah, GA 31406-1525
Phone (912) 354-7250
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111019000491 | GA | Practitioner - Clinical Psychologist | 4284703588 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0958 | GA | MD | Clinical Psychologist |
| 475 | GA | MD | Clinical Exercise Physiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adelle Burnsed-Geffen, PH.D. | Clinical | Current |
Accepting new patients |
Locations
7203 Hodgson Memorial Dr
Savannah, GA 31406
Phone (912) 352-9356
7203 Hodgson Memorial Dr
Ste C
Savannah, GA 31406
Phone (912) 354-7250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0958 | GA | Yes |
Addresses
Primary practice location
7203 Hodgson Memorial Dr
Savannah, GA 31406-1504
Mailing address
296 Cushing Dr
Savannah, GA 31406-8951
Phone (912) 354-7250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000302024A | Medicaid | GA |
Other providers in Savannah, GA
- Columbus Benjamin Burns III
- Esther Z. Burns
- John Joseph Burns III
- Kenya Burns
- Victoria Burns
- Marci A Burris
- Jennifer Leigh Burroughs
- Lorne Keith Burroughs
- Ryan Allen Burroughs
- Hannah Burton-Dooley
All providers in Savannah, 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 Jun 3, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.