Candler Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001780 Issued in GA

Legal business name

CANDLER PSYCHOLOGICAL SERVICES

Practice address

66 N Rountree St
Metter, GA 30439-4019

Phone

(912) 685-6259

Fax

(912) 685-9871

NPI assigned

Jan 17, 2007

Last updated

Aug 22, 2020By 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

Dr. Susan Daughtry Ferrell, PH.D.NPI 1750508370

Title

Licensed Psychologist

Phone

(912) 685-6259

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Susan Daughtry Ferrell, PH.D.

  • Clinical Psychologist
  • Metter, GA
  • NPI 1750508370
  NPD (past) Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710039839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1146",
            "address_2": "66 NORTH ROUNTREE STREET",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304391146",
            "telephone_number": "912-685-6259",
            "fax_number": "912-685-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 N ROUNTREE ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304394019",
            "telephone_number": "912-685-6259",
            "fax_number": "912-685-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLER PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "DAUGHTRY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "912-685-6259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "001780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00529119B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candler Internal Medicine
• Candler Medical Group, Inc. - Metter
• Candler Pharmacy PC
• Candler Pharmacy PC
• Candler Pharmacy PC (Candler Pharmacy LTC)
• Carepartners of Georgia
• Melissa Sue Cartrette, AGNP
• CCH Physician Group, LLC
• Erin Garrett Chalker, RPH
• William Wesley Clance Jr.

• Clinical Psychologist in Metter, GA
• Providers in Metter, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.