Individual provider Active NPI

Judy Draisin Wolman, PH.D.

  • Intellectual & Developmental Disabilities Psychologist
  • Atlanta, GA
National Provider Identifier
1336271337
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
1019 Issued in GA
Practice address
6000 Lake Forrest Dr NW
Ste. 575
Atlanta, GA 30328-3824
Phone
(404) 255-1032
Fax
(404) 255-3234
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 1019 GA
Intellectual & Developmental Disabilities Psychologist 103TM1800X 1019 GA Primary
Psychologist 103T00000X 1019 GA
School Psychologist 103TS0200X 1019 GA

Addresses

Primary practice location

6000 Lake Forrest Dr NW
Ste. 575
Atlanta, GA 30328-3824

Mailing address

3820 Roswell Rd NE
#801
Atlanta, GA 30342-4441
Phone (404) 816-5689

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1019GAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandy Springs Psychological Center, P.C. Psychologist 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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1336271337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 ROSWELL RD NE",
            "address_2": "#801",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424441",
            "telephone_number": "404-816-5689",
            "fax_number": "404-255-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 LAKE FORREST DR NW",
            "address_2": "STE. 575",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283824",
            "telephone_number": "404-255-1032",
            "fax_number": "404-255-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLMAN",
        "first_name": "JUDY",
        "middle_name": "DRAISIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "1019",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "GA",
            "license": "1019",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "1019",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "GA",
            "license": "1019",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 11, 2025; 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.