Shrink Savannah

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SHRINK SAVANNAH

Practice address

1601 Abercorn St
Savannah, GA 31401-7521

Phone

(912) 712-2550

Fax

(912) 480-0518

NPI assigned

Mar 2, 2016

Last updated

Jul 30, 2019By 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

Chad Brock, M.D.NPI 1588691794

Title

Owner

Phone

(912) 712-2550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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.

• Chad Brock, MD

  • Psychiatry Physician
  • Savannah, GA
  • NPI 1588691794
  Medicare reassignment Care Compare group NPD Authorized official
• Jean Marie Goldthwait, LMSW

  • Social Worker
  • Pooler, GA
  • NPI 1679904437
  Medicare reassignment Care Compare group NPD
• Paige Lindsay Marnell, M.D.

  • Addiction Psychiatry Physician
  • Savannah, GA
  • NPI 1619316163
  Medicare reassignment NPD
• Heather Marie Mell, FNP-C

  • Family Nurse Practitioner
  • Savannah, GA
  • NPI 1013382969
  Medicare reassignment NPD
• Daniel B. Nagelberg, PH.D.

  • Psychologist
  • Savannah, GA
  • NPI 1396805131
  Medicare reassignment NPD
• Lydia Stearns, PA-C

  • Physician Assistant
  • Savannah, GA
  • NPI 1174046635
  Medicare reassignment
• Anna Christiansen Hilliard, PA-C

  • Physician Assistant
  • Savannah, GA
  • NPI 1780311993
  NPD
• Zuleimye Valle Blas, MD

  • Psychiatry Physician
  • Savannah, GA
  • NPI 1306316906
  NPD
• Rebecca Fain, LPC, CCMHC, CPCS

  • Professional Counselor
  • Savannah, GA
  • NPI 1073176707

  Single Specialty

  NPD (past)
• Annika Siddall

  • Professional Counselor
  • Savannah, GA
  • NPI 1700792447
  NPD (past)

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1659731826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314017521",
            "telephone_number": "912-712-2550",
            "fax_number": "912-480-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314017521",
            "telephone_number": "912-712-2550",
            "fax_number": "912-480-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRINK SAVANNAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-712-2550",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elbert Frank Sholar, M.D.
• Thomas Earl Shook, MD, MPH
• Chelsea Shoop, CCC-SLP
• Shannon Shorter, HIS
• SHP Provider Network, LLC
• Cathryn B. Shriver, RN, CDE
• La-Shay Shuler
• Nancy Beth Shull, M.D.
• Jonathan Michael Shults, MD.
• Daniel Shuman

• Adult Mental Health Clinic/Center in Savannah, GA
• Providers in Savannah, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.