Gary Santavicca, PH.D. and Associates

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY001224 Issued in GA

Legal business name

GARY SANTAVICCA, PH.D. AND ASSOCIATES

Practice address

340 Boulevard NE
Suite 640
Atlanta, GA 30312-1273

Phone

(404) 653-1117

Fax

(404) 880-0133

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Ayanna Rule

Title

Insurance Manager

Phone

(404) 653-1117

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Santavicca, PHD

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1124080395
  Medicare reassignment NPD
• John Kent, PHD

  • Counseling Psychologist
  • Flowery Branch, GA
  • NPI 1245371376
  NPD (past)
• Robin Rosenthal, PH.D.

  • Psychologist
  • Atlanta, GA
  • NPI 1023187341
  NPD (past)
• Rivkah Eidex, PSY.D.

  • Clinical Psychologist
  • Baltimore, MD
  • NPI 1760588008
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518171222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BOULEVARD NE",
            "address_2": "SUITE 640",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121273",
            "telephone_number": "404-653-1117",
            "fax_number": "404-880-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BOULEVARD NE",
            "address_2": "SUITE 640",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121273",
            "telephone_number": "404-653-1117",
            "fax_number": "404-880-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY SANTAVICCA, PH.D. AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RULE",
        "authorized_official_first_name": "AYANNA",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "404-653-1117",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY001224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00423178B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00423178A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Hunter Garvey, CPNP-PC
• Lauren Garvey, LPC, CRC, NCC
• Gary C Richter, M.D., P.C (Consultative Gastroenterology)
• Gary R Gropper MD PC
• Gary S Figiel MD PC (Southeastern Geriatric Healthcare Group)
• Lucinda Boyd Gary, MA
• Matthew Frank Gary, M.D.
• Tishana L Gary, FNP-BC
• Zakaria Gary
• Jazmin Garza, LCSW

• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.