Active NPI
Carla A Hedeen, PH.D.
- Health Service Psychologist
- Decatur, GA
National Provider Identifier
1114037561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- PSY001656
- Practice address
- 2665 N Decatur Rd
Suite 630
Decatur, GA 30033-6149 - Phone
- (404) 501-7569
- Fax
- (404) 501-7550
- NPI assigned
- Aug 30, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY001656 | GA | |
| Clinical Psychologist | 103TC0700X | PSY001656 | GA | |
| Health Service Psychologist | 103TH0100X | PSY001656 | GA | Primary |
Addresses
Primary practice location
2665 N Decatur Rd
Suite 630
Decatur, GA 30033-6149
Mailing address
PO Box 1494
Decatur, GA 30031-1494
Phone (404) 501-7569
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 |
|---|---|---|---|
| PSY001656 | GA | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow Counseling & Consultation Services LLC | Clinical | 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.
-
- Clinical Psychologist
- Decatur, GA
- NPI 1205182151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1114037561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1494",
"city": "DECATUR",
"state": "GA",
"postal_code": "300311494",
"telephone_number": "404-501-7569",
"fax_number": "404-501-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2665 N DECATUR RD",
"address_2": "SUITE 630",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336149",
"telephone_number": "404-501-7569",
"fax_number": "404-501-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDEEN",
"first_name": "CARLA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "GA",
"license": "PSY001656",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY001656",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "GA",
"license": "PSY001656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.