Powell Psychological Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002212 Issued in GA

Legal business name

POWELL PSYCHOLOGICAL ASSOCIATES

Practice address

2501 E Piedmont Rd
Suite 200, PMB 5
Marietta, GA 30062-7752

Phone

(404) 403-6177

Fax

(404) 393-6460

NPI assigned

Oct 25, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Powell, PH.D.

Title

Owner

Phone

(404) 403-6177

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Powell Psychological Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Powell Psychological Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marietta, GA
  • NPI 1881125557
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1003169145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E PIEDMONT RD",
            "address_2": "SUITE 200, PMB 5",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627752",
            "telephone_number": "404-403-6177",
            "fax_number": "404-393-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E PIEDMONT RD",
            "address_2": "SUITE 200, PMB 5",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627752",
            "telephone_number": "404-403-6177",
            "fax_number": "404-393-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL PSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-403-6177",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000480686A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christin Post, LCSW
• Patricia Postanowicz, PH.D, LMFT
• Cheryl Postell, NP
• Devon Potler-Jack
• Ashley Dekira Poullard, MD
• Powell Psychological Associates
• Elizabeth Hoover Powell, PT, DPT
• Ian David Powell, M.D.
• Jasmine Powell, CNM
• Jennifer Turner Powell, M.S., LPC

• Clinical Psychologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.