Active NPI
Paul Gregory Kapphahn
- Psychologist
- Atlanta, GA
National Provider Identifier
1023154010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LPC001539
- Practice address
- 2150 Peachford Rd
#G
Atlanta, GA 30338 - Phone
- (770) 394-5447
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LPC001539 | GA | Primary |
Addresses
Primary practice location
2150 Peachford Rd
#G
Atlanta, GA 30338
Mailing address
1802 W Nancy Creek Dr
Atlanta, GA 30341
Phone (770) 394-5447
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC001539 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Counseling Services | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Atlanta, GA
- NPI 1134259559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023154010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 W NANCY CREEK DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30341",
"telephone_number": "770-394-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PEACHFORD RD",
"address_2": "#G",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30338",
"telephone_number": "770-394-5447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPPHAHN",
"first_name": "PAUL",
"middle_name": "GREGORY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "LPC001539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.