Tanya Theriot, Psy.D., P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY002887 Issued in GA

Legal business name

TANYA THERIOT, PSY.D., P.C.

Practice address

3939 Roswell Rd
Suite 185
Marietta, GA 30062-6251

Phone

(770) 310-1792

Fax

(770) 945-1211

NPI assigned

Sep 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Tanya Saporita Theriot, PSY.D.NPI 1821163874

Title

Owner, Clinical Psychologist

Phone

(770) 310-1792

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Tanya Saporita Theriot, PSYD

  • Clinical Psychologist
  • Marietta, GA
  • NPI 1821163874
  NPD (past) Authorized official

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1124251590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724384",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311391384",
            "telephone_number": "770-310-1792",
            "fax_number": "404-945-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 ROSWELL RD",
            "address_2": "SUITE 185",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626251",
            "telephone_number": "770-310-1792",
            "fax_number": "770-945-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANYA THERIOT, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "THERIOT",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "SAPORITA",
        "authorized_official_title_or_position": "OWNER, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "770-310-1792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409047010A",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Marie Tangen, DPT
• Laura Tanguturi
• Lacey Tank
• Brandi Tanks
• Julie C Tanner, DMD
• Rosemary Elaine Taormina, AGPCNP-BC
• Tapestry Psychological Associates
• Tapestry Psychological Associates, Inc
• John Michael Tarantino, CSFA
• Tariq Javed, M.D., P.C.

• Psychologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.