Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063522779 Individual Practitioner Male Practitioner

Dr. Patrick A. Boudewyns , PhD

Psychologist • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Boudewyns, PhD is a registered healthcare professional specializing in Psychologist in Augusta, GA. Practice services are available at 1120 15TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1120 15th St

Augusta, GA 309120004

Telephone 7067213141
Fax 7067216602
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.5 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
39 Specialists

Practicing in Augusta, GA (941 Statewide)

Telehealth Adoption Rate
0.0% 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 Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License GA PSY000791

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000257771A (GA)
Medicaid State Provider ID
PS0178 (SC)

Practice Associates & Co-Workers

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

25 Associated Practitioners
Dr. Jason Henle , PhD

Psychologist - Clinical

NPI 1023393923

Doctor of Philosophy (Ph.D.)

NPI 1114037603

Doctor of Philosophy (Ph.D.)

Dr. Richard Camino Gaztambide , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1184803116

Doctor of Medicine (M.D.)

Dr. Dale Peeples , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1245281849

Doctor of Medicine (M.D.)

Dr. Nitin Shendarkar , MD

Psychiatry & Neurology - Psychiatry

NPI 1275644288

Doctor of Medicine (M.D.)

NPI 1295844462

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 30, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2011

Registered at 1120 15TH ST, AUGUSTA, GA 309120004 (Tel: 7067213141)

📍
Updated Business Mailing Address March 30, 2011

Registered at 1499 WALTON WAY, STE 1400, AUGUSTA, GA 309012602 (Tel: 7068288401)

👤
Provider Name / Credentials Updated March 30, 2011

Recorded as PATRICK BOUDEWYNS, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2011

Psychologist (License #PSY000791 in GA)

🟢
Initial NPI Registration & Enumeration August 30, 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: 1063522779
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: March 30, 2011
Sole Proprietor: No

Mailing Address

1499 Walton Way, Ste 1400

Augusta, GA 309012602

Phone: 7068288401

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.