Associated Psychological Services,Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001364 Issued in GA

Legal business name

ASSOCIATED PSYCHOLOGICAL SERVICES,INC

Practice address

479 Cotter St.
Ringgold, GA 30736

Phone

(706) 937-5180

Fax

(706) 937-5183

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Laura Joanna Hayes, ED.D.NPI 1477651917

Title

President

Phone

(706) 937-5180

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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

• Laura Joanna Hayes, ED.D.

  • Clinical Psychologist
  • Marietta, GA
  • NPI 1477651917
  Medicare reassignment NPD Authorized official
• Acea Starks

  • Mental Health Counselor
  • Ringgold, GA
  • NPI 1043621725
  NPD (past)
• Kimbali Anne Taylor, M.S., LPC, NCC

  • Professional Counselor
  • Ringgold, GA
  • NPI 1942327598
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689773160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 700",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "30736",
            "telephone_number": "706-937-5180",
            "fax_number": "706-937-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 COTTER ST.",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "30736",
            "telephone_number": "706-937-5180",
            "fax_number": "706-937-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED PSYCHOLOGICAL SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "JOANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-937-5180",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "001364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD GA.",
            "identifier": "52264390",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Ringgold, GA
• Providers in Ringgold, GA by specialty
• Clinical 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.