Individual provider Active NPI

Sakinah Y. Rasheed, PH.D., PSY.D.

  • Cognitive & Behavioral Psychologist
  • Marietta, GA
National Provider Identifier
1205057445
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
1347 Issued in GA
Practice address
1568 Cloverdale Dr SE
Marietta, GA 30067-7406
Phone
(404) 307-4780
Fax
(770) 565-8149
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 1347 GA Primary

Addresses

Primary practice location

1568 Cloverdale Dr SE
Marietta, GA 30067-7406

Mailing address

1625 Roswell Rd
515
Marietta, GA 30062-3682
Phone (404) 307-4780

Other identifiers 2

IdentifierTypeStateIssuer
00416622FMedicaidGA
00416622DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1347GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Accord Psychological Associates Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205057445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 ROSWELL RD",
            "address_2": "515",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623682",
            "telephone_number": "404-307-4780",
            "fax_number": "770-565-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 CLOVERDALE DR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677406",
            "telephone_number": "404-307-4780",
            "fax_number": "770-565-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHEED",
        "first_name": "SAKINAH",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "PH.D., PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "1347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00416622F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00416622D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.