Coastal Georgia Psychodynamic Center, LLC
NPI 1871033654 · Clinical Psychologist · Statesboro, GA
Coastal Georgia Psychodynamic Center, LLC is a Clinical Psychologist organization in Statesboro, GA (NPI 1871033654).
Provider details
- NPI number
- 1871033654
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amanda Rickard, Organizer(912) 421-9050
- License
- PSY003907 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-02-28
- Last updated
- 2020-05-11
- Certified
- 2020-05-11
Frequently asked questions
- What is Coastal Georgia Psychodynamic Center, LLC's NPI number?
- Coastal Georgia Psychodynamic Center, LLC's National Provider Identifier (NPI) is 1871033654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Georgia Psychodynamic Center, LLC?
- Coastal Georgia Psychodynamic Center, LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Coastal Georgia Psychodynamic Center, LLC located?
- Coastal Georgia Psychodynamic Center, LLC's practice location on file with NPPES is 325 S Walnut St, Statesboro, GA 30458-5418.
- What is Coastal Georgia Psychodynamic Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Georgia Psychodynamic Center, LLC is (912) 421-9050.
- Who is the authorized official for Coastal Georgia Psychodynamic Center, LLC?
- The authorized official listed on Coastal Georgia Psychodynamic Center, LLC's NPPES record is Amanda Rickard, Organizer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Georgia Psychodynamic Center, LLC's NPI active?
- Yes — Coastal Georgia Psychodynamic Center, LLC's NPI (1871033654) is active in the NPPES registry as of the last update on 2020-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.