NPIMap

Organization Active NPI

Quarells Consulting, P.C.

  • Clinical Psychologist
  • Smyrna, GA
National Provider Identifier
1386801454
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY002525 Issued in GA
Legal business name
QUARELLS CONSULTING, P.C.
Practice address
1850 Lake Park Dr SE Ste 106
Smyrna, GA 30080-7642
Phone
(770) 403-3124
Fax
(770) 739-7659
NPI assigned
May 16, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Carlton L. Quarells, PSY.D.NPI 1285749655
Title
Ceo
Phone
(770) 403-3124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY002525 GA Primary

Addresses

Primary practice location

1850 Lake Park Dr SE Ste 106
Smyrna, GA 30080-7642

Mailing address

1850 Lake Park Drive SE
Suite 106
Smyrna, GA 30080-7647
Phone (770) 403-3124

Other practice location 1

1720 Peachtree St NW
Suite 640
Atlanta, GA 30309-2449
Phone (770) 403-3124

Other identifiers 1

IdentifierTypeStateIssuer
000935426HMedicaidGA

National Provider Directory

National Provider Directory

Locations

1850 Lake Park Dr SE
Ste 106
Smyrna, GA 30080
Phone (770) 403-3124

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386801454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 LAKE PARK DRIVE SE",
            "address_2": "SUITE 106",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807647",
            "telephone_number": "770-403-3124",
            "fax_number": "770-739-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 LAKE PARK DR SE STE 106",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807642",
            "telephone_number": "770-403-3124",
            "fax_number": "770-739-7659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Peachtree St NW",
            "address_2": "Suite 640",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303092449",
            "country_code": "US",
            "telephone_number": "770-403-3124",
            "fax_number": "770-739-7659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUARELLS CONSULTING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "QUARELLS",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-403-3124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000935426H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.