P Praxis·MD
● Active Type 1 · Individual

Kelly M Stanek, PHD

Clinical Neuropsychologist·Augusta, GA· NPI 1063862639 · Enumerated 2016 · 9 years on NPI
Stanek is 1 of 5 clinical neuropsychologist providers in Augusta and 1 of 154 in Georgia.
NPI age
9 years
Enumerated 2016-06-15
Primary specialty
Clinical Neuropsychologist
Plus 1 subspecialty
Licensed in
GA, WI
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-08-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 154 active clinical neuropsychologist providers in Georgia.

NPI age
9 years
↓ 6 yr below median (15 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-06Enumerated in NPPES
2016 2026

Where they practice

Practice location
1120 15th St
Augusta, GA 309120004
📞 7067214581
Mailing address
1120 15th St # Or6000
Augusta, GA 309120004
📞 7067213813

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1313 Fish Hatchery Rd
Madison, WI 537151911
📞 6082528000

Specialties

  • Clinical Neuropsychologist Primary
    A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated...
    GA license #PSY004125WI license #3375-057 taxonomy 103G00000X

Practice context

Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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