Eckart Werther, PH.D., M.S.W.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY004378 Issued in GA

Practice address

2330 Scenic Hwy S
Snellville, GA 30078-3115

Phone

(404) 821-9811

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Judy & Bruce Pemberton, LLC

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1750642419
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1477699718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392484",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300390042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "404-821-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTHER",
        "first_name": "ECKART",
        "credential": "PH.D., M.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004579",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY004378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashon Poole Wells, LCSW
• Mason Wells
• Wellstreet of Georgia PC (Piedmont Urgentcare by Wellstreet)
• Wellstreet of Georgia PC
• Gordon Bradley Werbel, M.D.
• Kenyana Suzan Nikia Wesley, AGACNP-BC
• Aaron Alonzo West, BA
• Jessica West, RBT
• John Elliott West, M.D.
• Cassandra A Westbrook, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.