Zainab Delawalla, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY004156 Issued in GA

Practice address

125 Clairemont Ave Ste 510
Decatur, GA 30030-2504

Phone

(404) 325-2400

NPI assigned

Nov 21, 2017

Last updated

Jul 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1316451719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WILTON DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305101",
            "telephone_number": "678-471-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CLAIREMONT AVE STE 510",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302504",
            "telephone_number": "404-325-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAWALLA",
        "first_name": "ZAINAB",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "PSY004156",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY004156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PSY004156",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jozsalina Del Val
• Rosetta Yvette Delancy, LCSW
• Alexandria Deland, PA-C
• Cheryl Delaney, LPC
• Mary Comiskey Delaney, LPC
• Niklaus Andreas Delfavero, D.C.
• Nathalie Delgado
• Delightful's Private Home Care,LLC
• Shanti Delima, LMSW
• Nerissa P Delisle, CRNFA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.