Active NPI
Nancy Jane Gup, PSY.D
- Psychologist
- Atlanta, GA
National Provider Identifier
1376573543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- GA002414
- Practice address
- 2885 Payton Rd NE
Atlanta, GA 30345-2600 - Phone
- (404) 634-0014
- Fax
- (404) 728-0043
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2414 | GA | |
| Clinical Psychologist | 103TC0700X | GA002414 | GA | |
| Adult Development & Aging Psychologist | 103TA0700X | GA002414 | GA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | GA002414 | GA | |
| Family Psychologist | 103TF0000X | GA002414 | GA | |
| Psychologist | 103T00000X | GA002414 | GA | Primary |
Addresses
Primary practice location
2885 Payton Rd NE
Atlanta, GA 30345-2600
Mailing address
2885 Payton Rd NE
Atlanta, GA 30345-2600
Phone (404) 634-0014
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2414 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1376573543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2885 PAYTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452600",
"telephone_number": "404-634-0014",
"fax_number": "404-728-0043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2885 PAYTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452600",
"telephone_number": "404-634-0014",
"fax_number": "404-728-0043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUP",
"first_name": "NANCY",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "2414",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "GA002414",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "GA",
"license": "GA002414",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "GA",
"license": "GA002414",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "GA",
"license": "GA002414",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "GA002414",
"primary": true
}
],
"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.