John William Albrecht, PHD
Individual provider Active NPI Psychologist · Fort Gordon, GA
NPI 1508965500 · NPPES record last updated Oct 4, 2013
Key facts
- NPI
- 1508965500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 01854 (GA)
- Practice address
- 300 W Hospital Rd
Outpatient Behavioral Health
Fort Gordon, GA 30905-5741 - Phone
- (706) 787-6377
- Fax
- (706) 787-1458
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01854 | GA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 01854 | GA | Yes |
Addresses
Primary practice location
300 W Hospital Rd
Outpatient Behavioral Health
Fort Gordon, GA 30905-5741
Mailing address
1173 Sumter Landing Cir
Evans, GA 30809-5501
Phone (706) 787-6377
Other providers in Fort Gordon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.