Individual provider Active NPI

Adelle Burnsed-Geffen, PH.D.

  • Clinical Psychologist
  • Savannah, GA
National Provider Identifier
1407978968
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0958 Issued in GA
Practice address
7203 Hodgson Memorial Dr
Savannah, GA 31406-1504
Phone
(912) 354-7250
NPI assigned
Apr 4, 2007
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0958 GA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000491 GA Practitioner - Clinical Psychologist 4284703588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0958GAMDAddiction (Substance Use Disorder) Counselor
475GAMDClinical Exercise Physiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adelle Burnsed-Geffen, PH.D. Clinical CurrentSince Mar 20, 2008 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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1407978968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 CUSHING DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314068951",
            "telephone_number": "912-354-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7203 HODGSON MEMORIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061504",
            "telephone_number": "912-354-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNSED-GEFFEN",
        "first_name": "ADELLE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "0958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.