CHILD NEUROBEHAVIORAL CENTER FOR HEALTH & WELLNESS, PC
NPI 1295898476
Psychologist in Martinez, GA

Active since December 18, 2006
302 BASTON RD, MARTINEZ, GA 30907(706) 447-8700(706) 447-8701 Get Directions Write a Review

NPPES record last updated: April 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Child Neurobehavioral Center For Health & Wellness, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILD NEUROBEHAVIORAL CENTER FOR HEALTH & WELLNESS, PC (NPI 1295898476), doing business as Maria E Gangarosa-emerson, Phd, Pc, is a healthcare organization registered as a psychologist in Martinez, Georgia and active in the NPI registry since December 2006. The organization lists Maria E Gangarosa Emerson, Owner, as its authorized official.

NPPES Registry Identity

NPI1295898476
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameCHILD NEUROBEHAVIORAL CENTER FOR HEALTH & WELLNESS, PC
Location Address302 BASTON RDMartinez, GA 30907-2906
Mailing AddressPo Box 2854Evans, GA 30809-2854 · (706) 447-8700 · Fax (770) 447-8701
Fax(706) 447-8701
Organization SubpartNo
Authorized OfficialMaria E Gangarosa EmersonOwner · (706) 447-8700
Enumeration DateDecember 18, 2006
Last NPPES UpdateApril 3, 2014
NPI 1295898476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · 2381
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 2381 (GA)
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
302 BASTON RD, Martinez, GA 30907

Other Names 1

Former Legal Business NameMaria E Gangarosa-emerson, Phd, Pc

Other Identifiers 5

Other52669312-001GA · Bcbs
Medicaid000852277BGA
Medicare ID-Type Unspecified68BBGJVGA
Other=========001GA · Tricare
Medicare UPINQ22624GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
302 BASTON RD
MARTINEZ, GA 30907
Marriage & Family Therapist
302 BASTON RD
MARTINEZ, GA 30907
Psychologist (Clinical)
302 BASTON RD
AUGUSTA, GA 30907

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Child Neurobehavioral Center For Health & Wellness, PC's NPI number?

The NPI number for Child Neurobehavioral Center For Health & Wellness, PC is 1295898476. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider was formerly known as Maria E Gangarosa-Emerson, Phd, PC.

Where is Child Neurobehavioral Center For Health & Wellness, PC located?

Child Neurobehavioral Center For Health & Wellness, PC is located at 302 Baston Rd, Martinez, GA 30907. The listed phone number is (706) 447-8700.

What is Child Neurobehavioral Center For Health & Wellness, PC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Child Neurobehavioral Center For Health & Wellness, PC was last updated on April 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.