NPIMap

Organization Active NPI

Touchstone Psychological Services

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1124038542
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY001267 Issued in GA
Legal business name
TOUCHSTONE PSYCHOLOGICAL SERVICES
Practice address
1897 Godby Rd
Atlanta, GA 30349-5235
Phone
(770) 996-7622
Fax
(770) 996-5469
NPI assigned
Aug 8, 2006
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Sherry L Blake, PHDNPI 1124244934
Title
Owner
Phone
(770) 996-7622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY001267 GA Primary

Addresses

Primary practice location

1897 Godby Rd
Atlanta, GA 30349-5235

Mailing address

1897 Godby Rd
Atlanta, GA 30349-5235
Phone (770) 996-7622

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1124038542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 GODBY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495235",
            "telephone_number": "770-996-7622",
            "fax_number": "770-996-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 GODBY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495235",
            "telephone_number": "770-996-7622",
            "fax_number": "770-996-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUCHSTONE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-996-7622",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY001267",
            "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 Jul 1, 2008; 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.