SBS Psychological Associates

Primary specialty

PsychologistTaxonomy code 103T00000X

License

002451 Issued in GA

Legal business name

SBS PSYCHOLOGICAL ASSOCIATES

Practice address

485 S Perry St
Suite D
Lawrenceville, GA 30045-4923

Phone

(678) 205-0838

NPI assigned

Apr 15, 2008

Last updated

Apr 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shirley Boone-Sanford, PH.D.NPI 1609837616

Title

Ceo

Phone

(678) 205-0838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shirley Boone-Sanford, PH.D.

  • Psychologist
  • Lawrenceville, GA
  • NPI 1609837616
  Medicare reassignment NPD Authorized official
• Erik A Fisher, PHD

  • Psychologist
  • Lawrenceville, GA
  • NPI 1437177433
  NPD (past)
• Amaris Primrose Galloway

  • Mental Health Counselor
  • Dacula, GA
  • NPI 1912466806
  NPD (past)
• Dea Rabon Montgomery, PH.D.

  • Clinical Psychologist
  • Lawrenceville, GA
  • NPI 1467413484
  NPD (past)

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1437323029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2133",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300462133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S PERRY ST",
            "address_2": "SUITE D",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454923",
            "telephone_number": "678-205-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBS PSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "BOONE-SANFORD",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-205-0838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "002451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saving Grace Care Services LLC of Georgia
• Summer Savior, MS, RDN
• Victory Sayegh
• SB Healthcare, LLC (BridgeWay Hospice)
• SB Healthcare, LLC (BridgeWay Palliative Care)
• Kymber Scales
• Gina V Scarboro, PAAA
• Carrie Ann Schieppe
• Arthur David Schiff, MD
• Debra Clark Schilleci

• Psychologist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.