Active NPI
Steven Kovner, PH.D.
- Psychologist
- Roswell, GA
National Provider Identifier
1063482263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSYGA001842
- Practice address
- 110 River Terrace PT
Roswell, GA 30076-4416 - Phone
- (770) 312-2319
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | PSYGA001842 | GA | Primary |
Addresses
Primary practice location
110 River Terrace PT
Roswell, GA 30076-4416
Mailing address
110 River Terrace PT
Roswell, GA 30076-4416
Phone (770) 312-2319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00638877H | Medicaid | GA |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYGA001842 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dunwoody Psychology, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775865600000",
"number": "1063482263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 RIVER TERRACE PT",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764416",
"telephone_number": "770-312-2319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 RIVER TERRACE PT",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764416",
"telephone_number": "770-312-2319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVNER",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2026-04-11",
"certification_date": "2026-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSYGA001842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00638877H",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.