Organization Active NPI

Daniel B. Nagelberg, PH.D. Dba Coastal Psychology

  • Psychologist
  • Savannah, GA
National Provider Identifier
1467597864
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
000734 Issued in GA
Legal business name
DANIEL B. NAGELBERG, PH.D. DBA COASTAL PSYCHOLOGY
Practice address
322 Stephenson Ave
Suite B
Savannah, GA 31405-5929
Phone
(912) 352-2992
Fax
(912) 352-3447
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Dr. Daniel B. Nagelberg, PH.D.NPI 1396805131
Title
Psychologist Owner
Phone
(912) 352-2992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 000734 GA Primary

Addresses

Primary practice location

322 Stephenson Ave
Suite B
Savannah, GA 31405-5929

Mailing address

322 Stephenson Ave
Suite B
Savannah, GA 31405-5929
Phone (912) 352-2992

National Provider Directory

National Provider Directory

Locations

322 Stephenson Ave
Ste B
Savannah, GA 31405
Phone (912) 351-5050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1467597864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 STEPHENSON AVE",
            "address_2": "SUITE B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055929",
            "telephone_number": "912-352-2992",
            "fax_number": "912-352-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 STEPHENSON AVE",
            "address_2": "SUITE B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055929",
            "telephone_number": "912-352-2992",
            "fax_number": "912-352-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL B. NAGELBERG, PH.D. DBA COASTAL PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "NAGELBERG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PSYCHOLOGIST OWNER",
        "authorized_official_telephone_number": "912-352-2992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "000734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.