Individual provider Active NPI

John R Sass, PHD

  • Clinical Neuropsychologist
  • Atlanta, GA
National Provider Identifier
1093858854
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY0001727 Issued in GA
Practice address
2296 Henderson Mill Road NE
Suite 305
Atlanta, GA 30345
Phone
(404) 929-9009
Fax
(404) 929-9005
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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 PSY0001727 GA Primary

Addresses

Primary practice location

2296 Henderson Mill Road NE
Suite 305
Atlanta, GA 30345

Mailing address

2296 Henderson Mill Road NE
Suite 305
Atlanta, GA 30345
Phone (404) 929-9009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000879 GA Practitioner - Clinical Psychologist 8224087895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2296 Henderson Mill Rd NE
Suite 305
Atlanta, GA 30345-2739
Phone (404) 929-9009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY0001727GAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Rehabilitation of Georgia, PC CurrentSince Sep 19, 2009 Accepting new patients

Locations

2296 Henderson Mill Rd NE
Ste 305
Atlanta, GA 30345
Phone (404) 929-9009

1276 McConnell Dr
Ste C
Decatur, GA 30033
Phone (404) 321-1441

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1093858854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 HENDERSON MILL ROAD NE",
            "address_2": "SUITE 305",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30345",
            "telephone_number": "404-929-9009",
            "fax_number": "404-929-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 HENDERSON MILL ROAD NE",
            "address_2": "SUITE 305",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30345",
            "telephone_number": "404-929-9009",
            "fax_number": "404-929-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASS",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "PSY0001727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.