George W. Ackley PH.D., P.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

35SI00302800 Issued in NJ

Legal business name

GEORGE W. ACKLEY PH.D., P.C.

Practice address

2848 S Delsea Dr
BLDG. B
Vineland, NJ 08360-7042

Phone

(609) 675-0872

NPI assigned

Sep 24, 2008

Last updated

Sep 24, 2008By 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

George W. Ackley, PH.D.NPI 1457535833

Title

Owner

Phone

(609) 675-0872

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• George Walton Ackley, PH.D., P.C.

  • Clinical Psychologist
  • Vineland, NJ
  • NPI 1457535833
  Authorized official Same address or phone
• Ronda M Hindermyer, DPM

  • Podiatrist
  • Bridgeton, NJ
  • NPI 1780779272
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1932359031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 LENNOX AVE",
            "city": "CAPE MAY",
            "state": "NJ",
            "postal_code": "082043837",
            "telephone_number": "609-675-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 S DELSEA DR",
            "address_2": "BLDG. B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607042",
            "telephone_number": "609-675-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE W. ACKLEY PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "ACKLEY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-675-0872",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "35SI00302800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7158700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geralyn M Gedaka, APN
• Micaela Lee Genca, PHARMD
• Jennifer L. Genthner, PH.D.
• Rachel E Gentile, DO
• Ayla Gentiletti, RD
• Stephanie Gervato-Fauver
• Ramyar Ghandriz, MD
• Brittany Lane Giacomelli, M.S.W., L.S.W.
• Robert Giandonato III
• Lindsay Gibbons

• Mental Health Clinic/Center (Including Community Mental Health Center) in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.