Active NPI
Rachel Feit, PSY.D
- Clinical Psychologist
- Marietta, GA
National Provider Identifier
1013384221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY004258
- Practice address
- 55 Whitcher St NE Ste 420
Marietta, GA 30060 - Phone
- (770) 514-6760
- Fax
- (770) 794-8034
- NPI assigned
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301016205 | MI | |
| Clinical Psychologist | 103TC0700X | PSY004258 | GA | Primary |
Addresses
Primary practice location
55 Whitcher St NE Ste 420
Marietta, GA 30060
Mailing address
805 Sandy Plains Road
Medical Staff Services
Marietta, GA 30066-6340
Other practice location 1
630 N Old Woodward Ave
Birmingham, MI 48009-3858
Phone (248) 709-3351
Other practice location 2
630 N Old Woodward Ave
Birmingham, MI 48009-3858
Phone (248) 709-3351
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rfeit174371@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY004258 | GA | MD | Clinical Psychologist |
| 6301016205 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1013384221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SANDY PLAINS ROAD",
"address_2": "MEDICAL STAFF SERVICES",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WHITCHER ST NE STE 420",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30060",
"telephone_number": "770-514-6760",
"fax_number": "770-794-8034"
}
],
"practiceLocations": [
{
"address_1": "630 N Old Woodward Ave",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "MI",
"postal_code": "480093858",
"country_code": "US",
"telephone_number": "248-709-3351",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "630 N Old Woodward Ave",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "MI",
"postal_code": "480093858",
"country_code": "US",
"telephone_number": "248-709-3351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEIT",
"first_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301016205",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY004258",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rfeit174371@directwellstar.org",
"affiliation": "N",
"address_1": "55 Whitcher St NE Ste 420",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300601171",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.