Organization Active NPI

Christian Psychotherapy Resources, Inc.

  • Clinical Psychologist
  • Watkinsville, GA
National Provider Identifier
1487621827
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001974 Issued in GA
Legal business name
CHRISTIAN PSYCHOTHERAPY RESOURCES, INC.
Doing business as
Jonathan C. Robinson, Ph.D., P.C.
Practice address
1360 Caduceus Way Ste 102
Watkinsville, GA 30677-7300
Phone
(706) 282-8442
Fax
(706) 310-6907
NPI assigned
Mar 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jonathan Crawford Robinson, PH.D.
Title
Licensed Clinical Psychologist
Phone
(706) 549-5248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 001974 GA Primary

Addresses

Primary practice location

1360 Caduceus Way Ste 102
Watkinsville, GA 30677-7300

Mailing address

115 Moss Side Dr
Athens, GA 30607-2108
Phone (706) 308-7403

Other identifiers 1

IdentifierTypeStateIssuer
00693437AMedicaidGA

Other names 1

  • Jonathan C. Robinson, Ph.D., P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

1 Huntington Rd
Ste 101
Athens, GA 30606
Phone (706) 309-4670

1360 Caduceus Way
Ste 102
Watkinsville, GA 30677
Phone (404) 224-9346

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": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487621827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MOSS SIDE DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072108",
            "telephone_number": "706-308-7403",
            "fax_number": "706-310-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 CADUCEUS WAY STE 102",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777300",
            "telephone_number": "706-282-8442",
            "fax_number": "706-310-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN PSYCHOTHERAPY RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "CRAWFORD",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "706-549-5248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "001974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00693437A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonathan C. Robinson, Ph.D., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.