Saori Maruyama, PH.D. LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY003255 Issued in GA

Legal business name

SAORI MARUYAMA, PH.D. LLC

Practice address

10475 Medlock Bridge Rd
Building 300, Suite 315
Johns Creek, GA 30097-4433

Phone

(678) 935-9567

Fax

(678) 935-9568

NPI assigned

Jul 15, 2009

Organization subpart

No

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

Authorized official

Name

Saori Maruyama, PH.D.

Title

Licensed Psychologist

Phone

(678) 935-9567

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1114157922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD",
            "address_2": "BUILDING 300, SUITE 315",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974433",
            "telephone_number": "678-935-9567",
            "fax_number": "678-935-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD",
            "address_2": "BUILDING 300, SUITE 315",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974433",
            "telephone_number": "678-935-9567",
            "fax_number": "678-935-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAORI MARUYAMA, PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "MARUYAMA",
        "authorized_official_first_name": "SAORI",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "678-935-9567",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Danielle Salvatierra, CSFA
• Sharlene Gina Sam
• Tonya Sanchez, PA-C
• Corey Sanders
• Piper Lee Sandes
• Yvonne Edith Satterwhite, MD
• Niharika C Savili
• Sara Sawicki, MS, RDN, LD, RYT
• Sepideh Sazegari, DMD
• Wendy Schaflander

• Clinical Psychologist in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.