Organization Active NPI

Debra Alvis, PH.D., Inc

  • Community/Behavioral Health Agency
  • Bogart, GA
National Provider Identifier
1497902480
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY2296 Issued in GA
Legal business name
DEBRA ALVIS, PH.D., INC
Practice address
1551 Jennings Mill Rd
Suite 2000 B
Bogart, GA 30622-2544
Phone
(706) 369-7441
Fax
(706) 549-2569
NPI assigned
Aug 21, 2008
Last updated
Aug 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Dr. Debra Kay Alvis, PH.D.
Title
President
Phone
(706) 369-7441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY2296 GA Primary

Addresses

Primary practice location

1551 Jennings Mill Rd
Suite 2000 B
Bogart, GA 30622-2544

Mailing address

1551 Jennings Mill Rd
Suite 2000 B
Bogart, GA 30622-2544
Phone (706) 369-7441

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1497902480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 JENNINGS MILL RD",
            "address_2": "SUITE 2000 B",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306222544",
            "telephone_number": "706-369-7441",
            "fax_number": "706-549-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 JENNINGS MILL RD",
            "address_2": "SUITE 2000 B",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306222544",
            "telephone_number": "706-369-7441",
            "fax_number": "706-549-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA ALVIS, PH.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "ALVIS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-369-7441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "PSY2296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogart, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.