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Active NPI 1730138207 Individual Practitioner Male Practitioner

Dr. Theodore Alexander Daniel , PSYCHOLOGIST, PsyD

Psychologist - Clinical • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Daniel, PSYCHOLOGIST, PsyD is a registered healthcare professional specializing in Psychologist - Clinical in Augusta, GA. Practice services are available at 1287 MARKS CHURCH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1287 Marks Church Rd
Suite F

Augusta, GA 309096330

Telephone 7064818181
Fax 7066508427

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
47 Specialists

Practicing in Augusta, GA (1219 Statewide)

Telehealth Adoption Rate
10.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License GA 1662

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00546433A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Daniel Hendricks , PhD, ADC

Counselor - Addiction (Substance Use Disorder)

NPI 1851332621

Doctor of Philosophy (Ph.D.), ADC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1287 MARKS CHURCH RD, SUITE F, AUGUSTA, GA 309096330 (Tel: 7064818181)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2807 SPRINGWOOD DR, AUGUSTA, GA 309092332 (Tel: 7067383621)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THEODORE DANIEL, PSYCHOLOGIST/PSY.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #1662 in GA)

🟢
Initial NPI Registration & Enumeration May 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730138207
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

2807 Springwood Dr

Augusta, GA 309092332

Phone: 7067383621

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.