Providence Psychological Services P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY00183 Issued in GA

Legal business name

PROVIDENCE PSYCHOLOGICAL SERVICES P.C.

Practice address

615 Barlow St
Americus, GA 31709-4206

Phone

(229) 928-9887

Fax

(229) 928-9461

NPI assigned

May 5, 2008

Last updated

May 5, 2008By 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

Leeann K Frantz

Title

Office Manager

Phone

(229) 928-9887

Specialties & licenses 1

Addresses

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.

• Laura McMaster Depaola, PH.D.

  • Clinical Psychologist
  • Americus, GA
  • NPI 1477512754
  NPD

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1770759219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 BARLOW ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317094206",
            "telephone_number": "229-928-9887",
            "fax_number": "229-928-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 BARLOW ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317094206",
            "telephone_number": "229-928-9887",
            "fax_number": "229-928-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE PSYCHOLOGICAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "FRANTZ",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-928-9887"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY00183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Price, LC, DOULA, CE, NCS
• Ramona J Price, RN-BC
• Tanya Price, LPN
• Karen Pritchett, CCC-SLP
• Professional Counseling Services of Americus, Inc.
• Purple Hearts Health Care Services LLC
• Qffcc Americus LLC (Quick Fix Family Convenient Care)
• Quinton W Weldon Estate
• Martha Brown Raburn, FNPC
• Ansley Ragan, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.