Adult and Child Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

992 Issued in GA

Legal business name

ADULT AND CHILD PSYCHOLOGICAL SERVICES

Practice address

1501 13TH St
Suite J
Columbus, GA 31901-2383

Phone

(706) 322-8264

Fax

(706) 322-5858

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Beth Parsons, M.ED.

Title

Educational Consultant

Phone

(706) 322-8264

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Lewis R. Lieberman, PH. D.

  • Clinical Psychologist
  • Columbus, GA
  • NPI 1861530263
  NPD (past)
• Santo Triolo, PHD

  • Psychologist
  • Columbus, GA
  • NPI 1821187360
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831234103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 13TH ST",
            "address_2": "SUITE J",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012383",
            "telephone_number": "706-322-8264",
            "fax_number": "706-322-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 13TH ST",
            "address_2": "SUITE J",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012383",
            "telephone_number": "706-322-8264",
            "fax_number": "706-322-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND CHILD PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "EDUCATIONAL CONSULTANT",
        "authorized_official_telephone_number": "706-322-8264",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY",
            "identifier": "1821187360",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Columbus, GA
• 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.