Active NPI
Medpsych Services, PC
- Specialist
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PSY002010
- Legal business name
- MEDPSYCH SERVICES, PC
- Practice address
- 504 Riverside Pkwy NE
Suite 300
Rome, GA 30161-2982 - Phone
- (706) 290-0535
- NPI assigned
- Feb 13, 2007
- Last updated
- Jun 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Scott Baranchok, PHD
- Title
- Owner
- Phone
- (706) 290-0535
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PSY002010 | GA | Primary |
Addresses
Primary practice location
504 Riverside Pkwy NE
Suite 300
Rome, GA 30161-2982
Mailing address
P.O. Box 3207
Rome, GA 30164-3207
Phone (706) 290-0535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000793174C | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
101 Elliott Dr NW
Ste F
Rome, GA 30165
Phone (706) 290-0535
504 Riverside Pkwy NE
Ste 300
Rome, GA 30161
Phone (706) 290-0535
Practitioners & affiliated clinicians
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.
-
- Clinical Neuropsychologist
- Rome, GA
- NPI 1578542510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403568000000",
"number": "1952443020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3207",
"city": "ROME",
"state": "GA",
"postal_code": "301643207",
"telephone_number": "706-290-0535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 RIVERSIDE PKWY NE",
"address_2": "SUITE 300",
"city": "ROME",
"state": "GA",
"postal_code": "301612982",
"telephone_number": "706-290-0535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDPSYCH SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2014-06-24",
"status": "A",
"authorized_official_last_name": "BARANCHOK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-290-0535",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "PSY002010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000793174C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.