NPIMap

Organization Active NPI

Southern Psychological Services

  • Forensic Psychologist
  • Thomasville, GA
National Provider Identifier
1922266014
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
2406 Issued in GA
Legal business name
SOUTHERN PSYCHOLOGICAL SERVICES
Practice address
1213 E Jackson St
Thomasville, GA 31792-4748
Phone
(229) 228-1950
Fax
(229) 228-1978
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Connie Schenk, PHDNPI 1710050919
Title
President
Phone
(229) 228-1950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TF0200X 2406 GA Primary

Addresses

Primary practice location

1213 E Jackson St
Thomasville, GA 31792-4748

Mailing address

PO Box 1403
Thomasville, GA 31799-1403
Phone (229) 228-1950

National Provider Directory

National Provider Directory

Locations

1213 E Jackson St
Thomasville, GA 31792
Phone (229) 228-1950

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1922266014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1403",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317991403",
            "telephone_number": "229-228-1950",
            "fax_number": "229-228-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 E JACKSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924748",
            "telephone_number": "229-228-1950",
            "fax_number": "229-228-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "SCHENK",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-228-1950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Forensic",
            "state": "GA",
            "license": "2406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.