Atlanta Center for Psychotherapy, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

442 Issued in GA

Legal business name

ATLANTA CENTER FOR PSYCHOTHERAPY, INC.

Practice address

300 W Wieuca Rd NE
BLDG. 2 Ste. 200
Atlanta, GA 30342-3352

Phone

(404) 255-7929

Fax

(404) 303-0661

NPI assigned

Aug 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deborah F. Fernhoff, PH.D.NPI 1346252418

Title

Director

Phone

(404) 255-7929

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah F. Fernhoff, PH.D.

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1346252418
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306959176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WIEUCA RD NE",
            "address_2": "BLDG. 2 STE. 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423352",
            "telephone_number": "404-255-7929",
            "fax_number": "404-303-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WIEUCA RD NE",
            "address_2": "BLDG. 2 STE. 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423352",
            "telephone_number": "404-255-7929",
            "fax_number": "404-303-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA CENTER FOR PSYCHOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNHOFF",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-255-7929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.