Imani Psychological Services, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

IMANI PSYCHOLOGICAL SERVICES, INC

Practice address

315 W Ponce de Leon Ave Ste 725
Decatur, GA 30030-2464

Phone

(404) 969-2826

NPI assigned

Nov 20, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Pamella Epps, PH.D.

Title

Owner

Phone

(404) 786-4041

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1386280709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 BERKELEY RD",
            "city": "AVONDALE ESTATES",
            "state": "GA",
            "postal_code": "300021518",
            "telephone_number": "404-786-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 725",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302464",
            "telephone_number": "404-969-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "PAMELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-786-4041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 20, 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.