Individual provider Active NPI

Catherine Basford Howell, PH.D.

  • Psychologist
  • Coolidge, GA
National Provider Identifier
1881776144
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1947 Issued in GA
Practice address
7363 Hall Rd
Coolidge, GA 31738-2407
Phone
(229) 228-5192
Fax
(229) 228-5139
NPI assigned
Oct 19, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1947 GA Primary

Addresses

Primary practice location

7363 Hall Rd
Coolidge, GA 31738-2407

Mailing address

7363 Hall Rd
Coolidge, GA 31738-2407
Phone (229) 228-5192

Other identifiers 1

IdentifierTypeStateIssuer
00706516BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060330000524 GA Practitioner - Clinical Psychologist 1658389796 Practice locations: Coolidge, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7363 Hall Rd
Coolidge, GA 31738-2407
Phone (229) 228-5192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1947GAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881776144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7363 HALL RD",
            "city": "COOLIDGE",
            "state": "GA",
            "postal_code": "317382407",
            "telephone_number": "229-228-5192",
            "fax_number": "229-228-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7363 HALL RD",
            "city": "COOLIDGE",
            "state": "GA",
            "postal_code": "317382407",
            "telephone_number": "229-228-5192",
            "fax_number": "229-228-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "CATHERINE",
        "middle_name": "BASFORD",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "1947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00706516B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coolidge, GA

Sources for this page

Verify at the official NPI Registry.