Individual provider Active NPI

Corbin Carney Feroleto, PH.D.

  • Clinical Neuropsychologist
  • Atlanta, GA
National Provider Identifier
1073117990
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3914 Issued in GA
Practice address
3500 Piedmont Rd NE Ste 740
Atlanta, GA 30305-1507
Phone
(404) 875-2050
NPI assigned
Nov 23, 2020
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 3914 GA Primary

Addresses

Primary practice location

3500 Piedmont Rd NE Ste 740
Atlanta, GA 30305-1507

Mailing address

3500 Piedmont Rd NE Ste 740
Atlanta, GA 30305-1507
Phone (404) 875-2050

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3914GAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Atlanta Psychology Group Clinical Neuropsychologist PastSince Nov 29, 2020 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": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1073117990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 PIEDMONT RD NE STE 740",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051507",
            "telephone_number": "404-875-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 PIEDMONT RD NE STE 740",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051507",
            "telephone_number": "404-875-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEROLETO",
        "first_name": "CORBIN",
        "middle_name": "CARNEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "3914",
            "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 Nov 23, 2020; 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.