Organization Active NPI

Littlejohn Consulting & Psychological Services, LLC

  • Clinical Psychologist
  • Decatur, GA
National Provider Identifier
1114252624
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY002911 Issued in GA
Legal business name
LITTLEJOHN CONSULTING & PSYCHOLOGICAL SERVICES, LLC
Practice address
315 W Ponce de Leon Ave
Suite 350
Decatur, GA 30030-2400
Phone
(404) 373-2220
Fax
(404) 373-9337
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Mrs. Tammy Robbins, MA
Title
Operations Manager
Phone
(404) 373-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY002911 GA Primary

Addresses

Primary practice location

315 W Ponce de Leon Ave
Suite 350
Decatur, GA 30030-2400

Mailing address

315 W Ponce de Leon Ave
Suite 350
Decatur, GA 30030-2400
Phone (404) 373-2220

Other identifiers 1

IdentifierTypeStateIssuer
000782691BMedicaidGA

National Provider Directory

National Provider Directory

Locations

315 W Ponce de Leon Ave
Ste 350
Decatur, GA 30030
Phone (404) 373-2220

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1114252624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE",
            "address_2": "SUITE 350",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302400",
            "telephone_number": "404-373-2220",
            "fax_number": "404-373-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE",
            "address_2": "SUITE 350",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302400",
            "telephone_number": "404-373-2220",
            "fax_number": "404-373-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLEJOHN CONSULTING & PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "404-373-2220",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000782691B",
            "state": "GA"
        }
    ],
    "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 Oct 16, 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.