Psychotherapy and Assessment Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1575 Issued in GA

Legal business name

PSYCHOTHERAPY AND ASSESSMENT SERVICES

Practice address

629 Dawsonville Hwy
Suite 2201
Gainesville, GA 30501-2610

Phone

(770) 534-9100

Fax

(770) 534-9104

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Amy Todd Davis, PH. DNPI 1962503060

Title

President

Phone

(770) 534-9100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy T Davis, PHD

  • Psychologist
  • Gainesville, GA
  • NPI 1962503060

  Clinical

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902958341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 DAWSONVILLE HWY",
            "address_2": "SUITE 2201",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012610",
            "telephone_number": "770-534-9100",
            "fax_number": "770-534-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 DAWSONVILLE HWY",
            "address_2": "SUITE 2201",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012610",
            "telephone_number": "770-534-9100",
            "fax_number": "770-534-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY AND ASSESSMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-534-9100",
        "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": "1575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00484514C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Agnew Pruitt, M.S, PT
• Lisa Carol Pruitt, LPN
• Pruitthealth Home Health, Inc. (PruittHealth @ Home - Gainesville)
• Pruitthealth Hospice, Inc. (PruittHealth Hospice - Gainesville)
• Psychiatry and Psychological Associates LLC
• PT Med (Bracit)
• Publix Super Markets Inc (Publix Pharmacy #1110)
• Publix Super Markets, Inc. (Publix Pharmacy #2045)
• Publix Super Markets, Inc. (Publix Pharmacy #2006)
• Benjamin N Puckett, M.D.

• Clinical Psychologist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Clinical 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.