Individual provider Active NPI

John M Adler, PHD

  • Psychologist
  • Savannah, GA
National Provider Identifier
1689786865
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY001729 Issued in GA
Practice address
3 Westridge Rd
Savannah, GA 31411-2951
Phone
(912) 660-3318
Fax
(866) 287-6607
NPI assigned
Aug 31, 2006
Last updated
Mar 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY001729 GA Primary

Addresses

Primary practice location

3 Westridge Rd
Savannah, GA 31411-2951

Mailing address

17 Magnolia Xing
Savannah, GA 31411-1417
Phone (912) 562-7092

Other practice location 1

508 N Main St
Hinesville, GA 31313-2534
Phone (912) 876-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210000645 GA Practitioner - Clinical Psychologist 8820132293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Duke University School of Medicine, 1966
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

512 S Main St
Suite B
Hinesville, GA 31313-4344
Phone (912) 660-3318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Hill Behavioral Health, LLC CurrentSince Apr 20, 2021 Accepting new patients
Coastal Psychology, LLC Current Accepting new patients
Allied Health Systems Past Accepting new patients
Allied Health Systems Psychologist Past Accepting new patients

Locations

512 S Main St
Ste B
Hinesville, GA 31313
Phone (912) 369-5437

10221 Ford Ave
Ste 5
Richmond Hill, GA 31324
Phone (912) 660-3318

322 Stephenson Ave
Ste B
Savannah, GA 31405
Phone (912) 351-5050

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1689786865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MAGNOLIA XING",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314111417",
            "telephone_number": "912-562-7092",
            "fax_number": "912-562-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WESTRIDGE RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112951",
            "telephone_number": "912-660-3318",
            "fax_number": "866-287-6607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 N Main St",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313132534",
            "country_code": "US",
            "telephone_number": "912-876-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADLER",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-03-25",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY001729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.