Organization Active NPI

Therapy Networks and Psychological Services

  • Clinical Psychologist
  • Fayetteville, GA
National Provider Identifier
1336835669
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
THERAPY NETWORKS AND PSYCHOLOGICAL SERVICES
Practice address
175 Bradford SQ
Fayetteville, GA 30215-1967
Phone
(404) 482-1014
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Adria Hickson, PSYDNPI 1316614928
Title
Clinical Psychologist
Phone
(404) 482-1014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

175 Bradford SQ
Fayetteville, GA 30215-1967

Mailing address

2048 Lawrenceville Hwy Unit 33111
Decatur, GA 30033-6201

National Provider Directory

National Provider Directory

Locations

2048 Lawrenceville Hwy
Unit 33111
Decatur, GA 30033

175 Bradford Sq
Fayetteville, GA 30215
Phone (404) 482-1014

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1336835669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 LAWRENCEVILLE HWY UNIT 33111",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 BRADFORD SQ",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302151967",
            "telephone_number": "404-482-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY NETWORKS AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "HICKSON",
        "authorized_official_first_name": "ADRIA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-482-1014",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.