Individual provider Active NPI

Katherine McWhorter Corbett, PSY.D.

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1154447423
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY003033 Issued in GA
Practice address
2004 Cliff Valley Way NE
Atlanta, GA 30329-2423
Phone
(404) 728-0728
Fax
(404) 634-7802
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 2612 TN
Clinical Psychologist 103TC0700X PSY003033 GA Primary

Addresses

Primary practice location

2004 Cliff Valley Way NE
Atlanta, GA 30329-2423

Mailing address

2004 Cliff Valley Way NE
Atlanta, GA 30329-2423
Phone (404) 728-0728

Other identifiers 1

IdentifierTypeStateIssuer
717622953BMedicaidGA

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

State licenses

LicenseStateTypeSpecialty
PSY003033GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aynsley Corbett, Psy.D. PC Clinical CurrentSince Oct 25, 2020 Accepting new patients
Cliff Valley Psychologists, P.a. PastSince Mar 29, 2020 Accepting new patients

Locations

2004 Cliff Valley Way NE
Atlanta, GA 30329
Phone (404) 728-0728

5605 Glenridge Dr
Ste 600
Sandy Springs, GA 30342
Phone (404) 257-9991

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1154447423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 CLIFF VALLEY WAY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292423",
            "telephone_number": "404-728-0728",
            "fax_number": "404-634-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 CLIFF VALLEY WAY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292423",
            "telephone_number": "404-728-0728",
            "fax_number": "404-634-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "KATHERINE",
        "middle_name": "MCWHORTER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "TN",
            "license": "2612",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717622953B",
            "state": "GA"
        }
    ],
    "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 Mar 23, 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.