Paul J. Cardozo, ED.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

821 Issued in GA

Practice address

215 Hawthorne Park
Suite a
Athens, GA 30606-2164

Phone

(706) 546-9880

Fax

(706) 353-3772

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1497743512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HAWTHORNE PARK",
            "address_2": "SUITE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062164",
            "telephone_number": "706-546-9880",
            "fax_number": "706-353-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HAWTHORNE PARK",
            "address_2": "SUITE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062164",
            "telephone_number": "706-546-9880",
            "fax_number": "706-353-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOZO",
        "first_name": "PAUL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000348323A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Cannon
• Robert Minnick Cannon, M.D.
• Grant Michael Capps, MD
• Thomas Jackson Carani, MSW
• Luis Eduardo Cardenas, MD
• Care Center
• Care Medical of Athens, Inc.
• Caregap Medfast Clinic PC
• John D Carey Jr., FNP
• Sarah M Carey, PA

• Clinical Psychologist in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.