Individual provider Active NPI

Adrian Stanford Janit, PH.D.

  • Cognitive & Behavioral Psychologist
  • Augusta, GA
National Provider Identifier
1487892469
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
PSY003347 Issued in GA
Practice address
211 Pleasant Home Rd Ste G1
Augusta, GA 30907-0560
Phone
(706) 364-4599
Fax
(706) 364-4589
NPI assigned
Jan 28, 2009
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X PSY003347 GA
Cognitive & Behavioral Psychologist 103TB0200X PSY003347 GA Primary
Clinical Psychologist 103TC0700X PSY003347 GA
Clinical Child & Adolescent Psychologist 103TC2200X PSY003347 GA
Family Psychologist 103TF0000X PSY003347 GA
Group Psychotherapy Psychologist 103TP2701X PSY003347 GA

Addresses

Primary practice location

211 Pleasant Home Rd Ste G1
Augusta, GA 30907-0560

Mailing address

211 Pleasant Home Rd Ste G1
Augusta, GA 30907-0560
Phone (706) 364-4599

Other identifiers 1

IdentifierTypeStateIssuer
478699634BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130807000421 GA Practitioner - Clinical Psychologist 0143462945 Practice locations: Augusta, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

211 Pleasant Home Rd
Suite G1
Augusta, GA 30907-0560
Phone (706) 364-4599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY003347GAMDFamily Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adrian Janit, PHD, LLC PastSince Jun 10, 2013 Accepting new patients
Adrian Janit Psychlsvcs LLC PastSince Jun 10, 2013 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1487892469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PLEASANT HOME RD STE G1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070560",
            "telephone_number": "706-364-4599",
            "fax_number": "706-364-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PLEASANT HOME RD STE G1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070560",
            "telephone_number": "706-364-4599",
            "fax_number": "706-364-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIT",
        "first_name": "ADRIAN",
        "middle_name": "STANFORD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "PSY003347",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "PSY003347",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003347",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "PSY003347",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "GA",
            "license": "PSY003347",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "GA",
            "license": "PSY003347",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "478699634B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.