Psychological Consultants and Affiliates, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PSYCHOLOGICAL CONSULTANTS AND AFFILIATES, INC.

Practice address

60 Messimer Dr
Newark, OH 43055-3692

Phone

(740) 522-2230

Fax

(740) 522-6230

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William R Gorga, PH.D.

Title

President

Phone

(740) 522-2230

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Merlane C Fuller, LISW

  • Social Worker
  • Newark, OH
  • NPI 1568450708
  NPD
• Timothy J. Welch, LPCC, MAC, BC-TMH

  • Mental Health Counselor
  • Newark, OH
  • NPI 1437242310
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639232192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MESSIMER DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553692",
            "telephone_number": "740-522-2230",
            "fax_number": "740-522-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MESSIMER DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553692",
            "telephone_number": "740-522-2230",
            "fax_number": "740-522-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL CONSULTANTS AND AFFILIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORGA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-522-2230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devan Kaye Pritchard
• Private Healthcare Facilities
• Professional Dental Alliance of Newark, LLC
• Providence Kidney & Hypertension Specialists LLC
• Lois Marie Prusinowski, CNS
• Paul R Pyle
• Sarah Qualls, CDCA
• John D Quimjian, MD
• Amanda Leigh Quisno, D.P.M.
• Angela Marie Raake, CNP

• All providers in Newark, OH
• Psychologist in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.