Pediatric & Family Psychological Services, P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY002800 Issued in GA

Legal business name

PEDIATRIC & FAMILY PSYCHOLOGICAL SERVICES, P.C.

Practice address

580 W Crossville Rd
Suite 201
Roswell, GA 30075-2506

Phone

(770) 650-4443

Fax

(770) 643-4854

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kindell R Schoffner, PSY.D.NPI 1649295395

Title

President

Phone

(770) 650-4443

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kindell Schoffner, PSYD

  • Psychologist
  • Atlanta, GA
  • NPI 1649295395
  NPD (past) Authorized official
• Elaine Bryant Barron, MASTER SOCIAL WORKER

  • Clinical Social Worker
  • Roswell, GA
  • NPI 1871830372
  NPD (past)
• Leslie Kim Doehring, PSY.D.

  • Clinical Psychologist
  • Roswell, GA
  • NPI 1235202276
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821127119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W CROSSVILLE RD",
            "address_2": "SUITE 201",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752506",
            "telephone_number": "770-650-4443",
            "fax_number": "770-643-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W CROSSVILLE RD",
            "address_2": "SUITE 201",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752506",
            "telephone_number": "770-650-4443",
            "fax_number": "770-643-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & FAMILY PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHOFFNER",
        "authorized_official_first_name": "KINDELL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-650-4443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peachtree Endocrinology
• Peachtree Primary Care PC
• Peachtree Psychology
• Laura Rivers Pearson, MD
• Sean Pearson, OTR/L
• Pediatric Physicians, P.C.
• Pediatric Therapy Services
• Pediatric Wellness Associates LLLP
• Laurie Fraser Peebles
• Mandi Peek, LPC

• Psychologist in Roswell, GA
• Providers in Roswell, GA by specialty
• 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.