Active NPI
Northwest Georgia Psychological Associates, LLC
- Clinical Psychologist
- Rome, GA
National Provider Identifier
1831215607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2642
- Legal business name
- NORTHWEST GEORGIA PSYCHOLOGICAL ASSOCIATES, LLC
- Practice address
- 215 Broad St
Suite 201
Rome, GA 30161-1708 - Phone
- (706) 295-2498
- Fax
- (706) 295-5666
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. D'Ann Downey, PH.D.
- Title
- Psychologist
- Phone
- (706) 295-2498
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2642 | GA | Primary |
Addresses
Primary practice location
215 Broad St
Suite 201
Rome, GA 30161-1708
Mailing address
215 Broad St
Suite 201
Rome, GA 30161-1708
Phone (706) 295-2498
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00808926E | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831215607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 BROAD ST",
"address_2": "SUITE 201",
"city": "ROME",
"state": "GA",
"postal_code": "301611708",
"telephone_number": "706-295-2498",
"fax_number": "706-295-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 BROAD ST",
"address_2": "SUITE 201",
"city": "ROME",
"state": "GA",
"postal_code": "301611708",
"telephone_number": "706-295-2498",
"fax_number": "706-295-5666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST GEORGIA PSYCHOLOGICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DOWNEY",
"authorized_official_first_name": "D'ANN",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "706-295-2498",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "2642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00808926E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
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- Northwest Georgia Behavioral Health
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- Northwest Georgia Medical Clinic 2LLC
- Northwest Georgia Medical Clinic, P.C.
- Northwest Georgia Regional Commission Area Agency
- Novus Orthodontics of Georgia LLC
- Daphne Nicholson Nutter, PTA
- NW Ga Regional Hospital
- NW Ga Regional Hospital
Sources for this page
- 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.