Individual provider Active NPI

Michelle Denise Morancie, PH.D.

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1144305590
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY003862 Issued in GA
Practice address
6851 Roswell Rd Apt I10
Atlanta, GA 30328-2476
Phone
(917) 991-4146
NPI assigned
Oct 26, 2006
Last updated
May 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 012342 NY
Psychologist 103T00000X PSY003862 GA Primary
School Psychologist 103TS0200X 012342 NY

Addresses

Primary practice location

6851 Roswell Rd Apt I10
Atlanta, GA 30328-2476

Mailing address

6851 Roswell Rd Apt I10
Atlanta, GA 30328-2476
Phone (917) 991-4146

Other practice location 1

1201 Burleyson Rd
Dalton, GA 30720-3019
Phone (706) 226-8900

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY003862GAMDPsychologist
012342NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Children's Institute Inc PastSince Mar 1, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1144305590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 ROSWELL RD APT I10",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303282476",
            "telephone_number": "917-991-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 ROSWELL RD APT I10",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303282476",
            "telephone_number": "917-991-4146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Burleyson Rd",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307203019",
            "country_code": "US",
            "telephone_number": "706-226-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORANCIE",
        "first_name": "MICHELLE",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012342",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003862",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "012342",
            "primary": false
        }
    ],
    "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 May 19, 2020; 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.