Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649532649 Individual Practitioner Female Practitioner

Dr. Phyllis D Ivery , PhD

Psychologist • Robins Afb, GA

Professional Overview & Biography Verified Profile Summary

Dr. Phyllis Ivery, PhD is a registered healthcare professional specializing in Psychologist in Robins Afb, GA. Practice services are available at 655 7TH ST BLDG 700700-A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

655 7th St Bldg 700700-A
78 Mdg/sgow

Robins Afb, GA 310982227

Telephone 4783278398

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Robins Afb, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Robins Afb, 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 PSY003523

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.

Practice Associates & Co-Workers

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

13 Associated Practitioners
Dr. Victor Stevenson , PhD

Psychologist - Clinical

NPI 1023127735

Doctor of Philosophy (Ph.D.)

Tracy Snider , LCSW

Social Worker - Clinical

NPI 1114169521

Licensed Clinical Social Worker

Melissa Cable

Social Worker - Clinical

NPI 1245633536
Jennifer Blocker , LCSW

Social Worker - Clinical

NPI 1376306753

Licensed Clinical Social Worker

Lauren Milligan , LCSW

Social Worker - Clinical

NPI 1538689757

Licensed Clinical Social Worker

Dr. Donelle Clark , DNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1588213128

Doctor of Nursing Practice

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 10, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2012

Registered at 655 7TH ST BLDG 700700-A, 78 MDG/SGOW, ROBINS AFB, GA 310982227 (Tel: 4783278398)

📍
Updated Business Mailing Address September 10, 2012

Registered at 217 AMBER DR, BYRON, GA 310083876 (Tel: 6784477211)

👤
Provider Name / Credentials Updated September 10, 2012

Recorded as PHYLLIS IVERY, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2012

Psychologist (License #PSY003523 in GA)

🟢
Initial NPI Registration & Enumeration June 14, 2012

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: 1649532649
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2012
Last Update: September 10, 2012
Sole Proprietor: Yes

Mailing Address

217 Amber Dr

Byron, GA 310083876

Phone: 6784477211

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.