Pcap Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

821 Issued in GA

Legal business name

PCAP INC

Practice address

215 Hawthorne Park Ste a
Athens, GA 30606-2164

Phone

(706) 546-9880

NPI assigned

Aug 19, 2009

Last updated

Feb 15, 2010By 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

Paul Cardozo, ED.D.NPI 1497743512

Title

President

Phone

(706) 546-9880

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Paul J. Cardozo, ED.D.

  • Clinical Psychologist
  • Athens, GA
  • NPI 1497743512
  Authorized official Same address or phone
• Colleen O McLemore, MD

  • Psychiatry Physician
  • Athens, GA
  • NPI 1114029279
  NPD (past)

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1760614119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HAWTHORNE PARK STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062164",
            "telephone_number": "706-546-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HAWTHORNE PARK STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062164",
            "telephone_number": "706-546-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCAP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-19",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "CARDOZO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-546-9880",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Paulk, D.O.
• Kenneth Daniel Paulk
• Ellen Pauloski, LCSW
• Jonathan Howard Payne, M.D.
• Robert A Payne, M.D.
• Larisa M Pearlman, MD
• Emily Pearson, DPT
• Nicole Pearson, MSN, RN
• Pediatric Services of America, Inc (PSA Healthcare)
• Haley Taylor Peeples, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.