Active NPI
Andrea Bishop-Marbury, PSYD
- Psychologist
- Cartersville, GA
National Provider Identifier
1386779809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY001519
- Practice address
- 108 Forrest Ave
Cartersville, GA 30120-3614 - Phone
- (770) 386-6222
- Fax
- (770) 386-9801
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY001519 | GA | Primary |
Addresses
Primary practice location
108 Forrest Ave
Cartersville, GA 30120-3614
Mailing address
108 Forrest Ave
P.O. Box 3747
Cartersville, GA 30120-3614
Phone (770) 386-6222
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY001519 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newbridge NW Psychology Associates | 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.
-
- Psychologist
- Cartersville, GA
- NPI 1619002128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386779809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 FORREST AVE",
"address_2": "P.O. BOX 3747",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301203614",
"telephone_number": "770-386-6222",
"fax_number": "770-386-9801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 FORREST AVE",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301203614",
"telephone_number": "770-386-6222",
"fax_number": "770-386-9801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP-MARBURY",
"first_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY001519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.