Individual provider Active NPI

Elizabeth Mary Day, PHD

  • Counseling Psychologist
  • Dalton, GA
National Provider Identifier
1720038870
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
002191 Issued in GA
Practice address
475 Reed Rd Ste 104
Dalton, GA 30720-6307
Phone
(706) 529-8710
Fax
(706) 529-8715
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 002191 GA Primary

Addresses

Primary practice location

475 Reed Rd Ste 104
Dalton, GA 30720-6307

Mailing address

475 Reed Rd Ste 104
Dalton, GA 30720-6307
Phone (706) 529-8710

Other names 1

  • Elizabeth Mary Herbert Former name

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
I20191214000023 GA Practitioner - Clinical Psychologist 9537592092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitalis Behavioral HealthGroup PAC ID 8729414891, 6 clinicians

Practice addresses (Care Compare)

1638 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4016
Phone (706) 841-0500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002191GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalis Behavioral Health CurrentSince Jul 7, 2021 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Vitalis Health PastSince Oct 1, 2019 Accepting new patients
Reliant Healthcare LLC Past Accepting new patients
Agape Youth Behavioral Health Past Accepting new patients

Locations

1406 Broadrick Dr
Dalton, GA 30720
Phone (706) 272-6480

475 Reed Rd
Ste 104
Dalton, GA 30720
Phone (706) 278-1622

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1638 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 841-0500

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1720038870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 REED RD STE 104",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307206307",
            "telephone_number": "706-529-8710",
            "fax_number": "706-529-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 REED RD STE 104",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307206307",
            "telephone_number": "706-529-8710",
            "fax_number": "706-529-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "002191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HERBERT",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.