Jeffrey John Pipe, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY002399 Issued in GA

Practice address

127 Church St NE
Suite 350
Marietta, GA 30060-8637

Phone

(770) 425-8275

Fax

(770) 425-8276

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 20, 2023 through Dec 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tapestry Psychological Associates, Inc

  • Psychologist
  • Marietta, GA
  • NPI 1265659163
  NPD (past) Authorized official
• Tapestry Psychological Associates

  • Community/Behavioral Health Agency
  • Marietta, GA
  • NPI 1750831541
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003822073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CHURCH ST NE",
            "address_2": "SUITE 350",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608637",
            "telephone_number": "770-425-8275",
            "fax_number": "770-425-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CHURCH ST NE",
            "address_2": "SUITE 350",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608637",
            "telephone_number": "770-425-8275",
            "fax_number": "770-425-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPE",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Orthopaedics & Sports Medicine Specialists LLC
• Dlydia Pinnix
• John M Pinski, MD
• Danica Leigh Pinson, PAC
• Allyson Grenleski Pinto, LPC
• Roman Lev Piraner, M.D.
• Tiana Piscitelli, DMD
• Mary C Pitcher, MD
• Diamond Pitts, RBT
• Pivot Point Counseling Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.