DR. TINA MARIE CAUDILL PSY.D.
NPI 1336120930
Psychologist - Clinical in Douglasville, GA

NPI Status: Active since November 10, 2005

Contact Information

6264 HOSPITAL WAY
DOUGLASVILLE, GA
ZIP 30134
Phone: (678) 232-9078
Fax: (866) 489-2642

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  • Individual
  • Female
  • Psychologist
  • Clinical
  • Accepts Insurance

About TINA CAUDILL

This page provides the complete NPI Profile along with additional information for Tina Caudill, a provider established in Douglasville, Georgia with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1336120930 assigned on November 2005. The practitioner's primary taxonomy code is 103TC0700X with license number PSY002899 (GA). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1336120930
Provider Name
DR. TINA MARIE CAUDILL PSY.D.
Gender
Female
Entity Type
Individual
Location Address
6264 HOSPITAL WAY DOUGLASVILLE, GA 30134
Location Phone
(678) 232-9078
Location Fax
(866) 489-2642
Mailing Address
PO BOX 1916 DOUGLASVILLE, GA 30133
Mailing Phone
(678) 232-9078
Mailing Fax
(866) 489-2642
Is Sole Proprietor?
Yes
Enumeration Date
11-10-2005
Last Update Date
08-24-2009
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A clinical psychologist like Tina Caudill assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PSY002899
License State
GA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
112025855DMEDICAID (05)GA 
112025855FMEDICAID (05)GA 
112025855EMEDICAID (05)GA 

Reviews for DR. TINA MARIE CAUDILL PSY.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336120930
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236622096
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 2 + 2 + 0 + 9 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1336120930 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962543579WEST GEORGIA PSYCHOLOGICAL SERVICES
Organization
Psychologist (Clinical)6264 HOSPITAL WAY
DOUGLASVILLE, GA 30134
(678) 232-9078
1154631042 KYLIE CRAINE PSY.D.
Individual
Psychologist6264 HOSPITAL WAY
DOUGLASVILLE, GA 30134
(678) 977-8300
1689957466DR. PURVITA AJITBHAI PATEL PSY.D.
Individual
Psychologist (Clinical)6264 HOSPITAL WAY
DOUGLASVILLE, GA 30134
(678) 977-8300
1780016444DR. SEAN MICHAEL HIRT PSYD
Individual
Psychologist (Clinical)6264 HOSPITAL WAY
DOUGLASVILLE, GA 30134
(678) 524-0060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336120930, enumerated in the NPI registry as an "individual" on November 10, 2005

The provider is located at 6264 Hospital Way Douglasville, Ga 30134 and the phone number is (678) 232-9078

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 10, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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