George Walton Ackley, PH.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00302800 Issued in NJ

Practice address

2848 S Delsea Dr
BLDG. B
Vineland, NJ 08360-7042

Phone

(609) 675-0872

NPI assigned

Dec 20, 2007

Last updated

Sep 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• George W. Ackley PH.D., P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vineland, NJ
  • NPI 1932359031
  Authorized official Same address or phone

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1457535833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082100339",
            "telephone_number": "609-675-0872",
            "fax_number": "609-886-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 S DELSEA DR",
            "address_2": "BLDG. B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607042",
            "telephone_number": "609-675-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKLEY",
        "first_name": "GEORGE",
        "middle_name": "WALTON",
        "credential": "PH.D., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00302800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.