George Emanoilidis, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8561 Issued in FL

Practice address

21 Ryant Blvd
Ste 21
Sebring, FL 33870-8075

Phone

(863) 658-1308

Fax

(863) 658-1309

NPI assigned

Aug 16, 2012

Last updated

Aug 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 12

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. George Emanoilidis Epic Services PA

  dba Dr. George Emanoilidis

  • Clinical Psychologist
  • Sebring, FL
  • NPI 1245785815
  NPD (past) Authorized official
• John P McDonough III

  dba Geriatric Psychological Specialists

  • Psychologist
  • Tampa, FL
  • NPI 1346280161
  NPD
• GPS II

  • Health Service Psychologist
  • Longboat Key, FL
  • NPI 1861740888
  NPD (past)

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1881942241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RYANT BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708075",
            "telephone_number": "863-658-1308",
            "fax_number": "863-658-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 RYANT BLVD",
            "address_2": "STE 21",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708075",
            "telephone_number": "863-658-1308",
            "fax_number": "863-658-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMANOILIDIS",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 8561",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "PY8561",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "FL",
            "license": "PY8561",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY8561",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8561",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY8561",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY8561",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "FL",
            "license": "PY8561",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "PY8561",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "FL",
            "license": "PY8561",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "FL",
            "license": "PY8561",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "FL",
            "license": "PY8561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Edgar, BSN, RN, IBCLC
• Sedat T Ekici, MD
• Erik Eklund, OD
• Elevate Care Group LLC
• Erin A Emanoilidis, LMHC
• Emcare Physician Providers, Inc.
• Emerge Transport, LLC
• Endurance Track Counseling LLC
• Eric S Palosky, DO PA
• Ernesto Pinzon PA

• Clinical Psychologist in Sebring, FL
• Providers in Sebring, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.