Savannah Neuropsychology Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SAVANNAH NEUROPSYCHOLOGY INC

Practice address

450 Mall Blvd Ste E
Savannah, GA 31406-4864

Phone

(912) 349-4055

Fax

(912) 244-6500

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Thomas K PedigoNPI 1164559738

Title

Owner/Clinical Psychologist

Phone

(912) 656-5503

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

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.

• Thomas K Pedigo, EDD

  • Clinical Psychologist
  • Savannah, GA
  • NPI 1164559738
  Medicare reassignment Care Compare group NPD Authorized official
• Kathy Louise Munro, LCSW

  • Clinical Social Worker
  • Brunswick, GA
  • NPI 1831315167
  Medicare reassignment Care Compare group NPD
• Orisbel Natera Fernandez, LISW

  • Clinical Social Worker
  • Savannah, GA
  • NPI 1356997431
  Medicare reassignment NPD
• Suzanne F Piotrowski, MENTAL HEALTH THERAP

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1306486261

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1699450064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MALL BLVD STE W",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064861",
            "telephone_number": "912-349-4055",
            "fax_number": "912-600-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MALL BLVD STE E",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064864",
            "telephone_number": "912-349-4055",
            "fax_number": "912-244-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH NEUROPSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "PEDIGO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "912-656-5503"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Savannah, GA
• Providers in Savannah, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.