Standard of Care Psychological Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY003324 Issued in GA

Legal business name

STANDARD OF CARE PSYCHOLOGICAL SERVICES, LLC

Practice address

3915 Cascade Rd SW
# T90
Atlanta, GA 30331-8512

Phone

(678) 973-2491

NPI assigned

Jun 4, 2012

Last updated

Jun 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raushannah Johnson-Verwayne, PSYNPI 1447585666

Title

Owner/Licensed Psychologist

Phone

(678) 973-2491

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Raushannah N. Johnson-Verwayne, PSY. D.

  • Psychologist
  • Atlanta, GA
  • NPI 1447585666
  NPD (past) Authorized official

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1588925796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW",
            "address_2": "# T90",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318512",
            "telephone_number": "678-973-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW",
            "address_2": "# T90",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318512",
            "telephone_number": "678-973-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDARD OF CARE PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-VERWAYNE",
        "authorized_official_first_name": "RAUSHANNAH",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "678-973-2491",
        "authorized_official_credential": "PSY"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel David Stampfer, M.D., PH.D.
• Camille Frances Stanback, M.D.
• Katherine Sheely Stancil
• Mia Sutton Stancil
• Randy Stanczyk, LCSW
• Standard Technology, Incorporated
• Porshia Dawn Standifer, NP
• Jonathan Standish, MS, LPC, CST
• Standpoint Therapy & Organizational Consulting
• Stanford Medical Group, Inc

• 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 Jun 4, 2012; 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.