- Practice location
- 1013 Egret Way, Lake Park, GA 31636-2759
- Phone
- 292-588-1985
- Fax
- —
- Last updated
- May 19, 2020
Adam Castleberry is a Psychologist, Clinical based in Lake Park, GA. Adam Castleberry practices in Lake Park, GA and has the professional credentials of PSYD. The NPI Number for Adam Castleberry is 1689950693 and holds a License No. PSY003724 (GA). The current practice location address for Adam Castleberry is 1013 Egret Way, Lake Park, GA 31636-2759 and can be reached out via phone at 292-588-1985.
Provider Profile Details
- NPI Number
- 1689950693
- Provider Name
- Adam Castleberry
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1013 Egret Way, Lake Park, GA 31636-2759
- Phone Number
- 292-588-1985
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 24, 2011
- Last Update Date
- May 19, 2020
- Certification Date
- May 19, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1013 Egret Way
Lake Park, GA 31636-2759 - City
- Lake Park
- State
- Georgia
- Zip
- 31636-2759
- Phone Number
- 292-588-1985
Provider Business Mailing Address Details
- Address
- 20 Research Pkwy
Old Saybrook, CT 06475-4214 - City
- Old Saybrook
- State
- CT
- Zip
- 06475-4214
- Phone Number
- 800-370-3651
- Fax Number
- 860-510-0020
License Information
- License Number (1)
- PSY003724
- License State (1)
- GA
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X · Primary
- License Number (2)
- 8652
- License State (2)
- FL
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Lake Park, GA
View all Psychologist, Clinical providers in Lake Park →Frequently Asked Questions
What is the NPI number of Adam Castleberry, PSYD?
The NPI number of Adam Castleberry, PSYD is 1689950693. It was assigned on October 24, 2011 and is currently active in the NPPES registry.
What is the specialty of Adam Castleberry, PSYD?
Adam Castleberry, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in GA under license number PSY003724.
Where does Adam Castleberry, PSYD practice?
The practice location is 1013 Egret Way, Lake Park, GA 31636-2759. The office can be reached at 292-588-1985 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689950693 directly on the NPPES registry website.