Skidaway Behavioral Institute LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

SKIDAWAY BEHAVIORAL INSTITUTE LLC

Practice address

3 Westridge Rd
Savannah, GA 31411-2951

Phone

(912) 372-3700

NPI assigned

Jun 9, 2020

Last updated

Oct 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hamilton Peirsol, PSY.D., C.A.P., NCC,NPI 1831550565

Title

Founder/Clinical Director

Phone

(912) 372-3700

Specialties & licenses 1

Addresses

Locations

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.

• Hamilton Peirsol, PSY.D.,C.A.P.,ICAADC

  • Counselor
  • Savannah, GA
  • NPI 1831550565
  Authorized official Same address or phone

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1922623644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13643",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314160643",
            "telephone_number": "912-372-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WESTRIDGE RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112951",
            "telephone_number": "912-372-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIDAWAY BEHAVIORAL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "PEIRSOL",
        "authorized_official_first_name": "HAMILTON",
        "authorized_official_title_or_position": "FOUNDER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "912-372-3700",
        "authorized_official_credential": "PSY.D., C.A.P., NCC,"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Savannah, GA
• Providers in Savannah, GA by specialty
• Counseling Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.