Active NPI
Rees Cecil Chapman III, PH.D
- Clinical Psychologist
- Dahlonega, GA
National Provider Identifier
1467567008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1740
- Practice address
- 385 Grove St N
Ste D
Dahlonega, GA 30533 - Phone
- (706) 864-0695
- Fax
- (844) 733-7743
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810005422 | VA | |
| Clinical Psychologist | 103TC0700X | 1740 | GA | Primary |
Addresses
Primary practice location
385 Grove St N
Ste D
Dahlonega, GA 30533
Mailing address
385 Grove St N
Ste D
Dahlonega, GA 30533
Phone (706) 864-0695
Other practice location 1
39 Paul St
Harrisonburg, VA 22801-4032
Phone (844) 733-7743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000615183A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2022 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1740 | GA | MD | Clinical Psychologist |
| 0810005422 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1467567008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 GROVE ST N",
"address_2": "STE D",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "30533",
"telephone_number": "706-864-0695",
"fax_number": "844-733-7743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 GROVE ST N",
"address_2": "STE D",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "30533",
"telephone_number": "706-864-0695",
"fax_number": "844-733-7743"
}
],
"practiceLocations": [
{
"address_1": "39 Paul St",
"address_purpose": "LOCATION",
"city": "Harrisonburg",
"state": "VA",
"postal_code": "228014032",
"country_code": "US",
"telephone_number": "844-733-7743",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAPMAN",
"first_name": "REES",
"middle_name": "CECIL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005422",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "1740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000615183A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dahlonega, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.