Marietta Associated Psychological Services Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1364 Issued in GA

Legal business name

MARIETTA ASSOCIATED PSYCHOLOGICAL SERVICES INC

Practice address

2501 E Piedmont Rd Ste 147
Marietta, GA 30062-7754

Phone

(770) 977-9201

Fax

(866) 884-2308

NPI assigned

Nov 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Laura Hayes, ED.DNPI 1477651917

Title

Ceo

Phone

(770) 977-9201

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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

• Laura Joanna Hayes, ED.D.

  • Clinical Psychologist
  • Marietta, GA
  • NPI 1477651917
  Medicare reassignment NPD Authorized official
• Bruce Rottschafer, PH.D.

  • Clinical Psychologist
  • Marietta, GA
  • NPI 1205891561
  NPD (past)
• Mark Stephen Wise

  • Psychoanalyst
  • Marietta, GA
  • NPI 1871360727
  NPD (past)

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1174953780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E PIEDMONT RD STE 147",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627754",
            "telephone_number": "770-977-9201",
            "fax_number": "866-884-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E PIEDMONT RD STE 147",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627754",
            "telephone_number": "770-977-9201",
            "fax_number": "866-884-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA ASSOCIATED PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-977-9201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marga Pharmacy, Inc
• Amy Rebecca Danforth Margrave, APRN
• Mariac Enterprises, LLC
• Mariel'S Healthcare Services
• Marietta Advanced Surgery Center
• Marietta Center for Rehabilitation Inc
• Marietta Chiropractic Clinic,LLC
• Marietta City Schools
• Marietta Counseling
• Marietta Counseling Associates

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.