Organization Active NPI

DMHG Psychological Services LLC

  • Clinical Psychologist
  • Conyers, GA
National Provider Identifier
1396580163
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DMHG PSYCHOLOGICAL SERVICES LLC
Practice address
1775 Parker Road Suite 210
Conyers, GA 30094
Phone
(478) 284-3985
NPI assigned
Jun 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Dr. Mary Decruise-Oates, PSY.DNPI 1679758429
Title
Clinical Psychologist / Owner
Phone
(478) 284-3985

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

1775 Parker Road Suite 210
Conyers, GA 30094

Mailing address

950 Eagles Landing Pkwy Ste 321
Stockbridge, GA 30281-7343
Phone (478) 284-3985

National Provider Directory

National Provider Directory

Locations

2450 Vinson Hwy SE
Milledgeville, GA 31061
Phone (478) 445-4303

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": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1396580163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 EAGLES LANDING PKWY STE 321",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817343",
            "telephone_number": "478-284-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 PARKER ROAD SUITE 210",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30094",
            "telephone_number": "478-284-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMHG PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "DECRUISE-OATES",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST / OWNER",
        "authorized_official_telephone_number": "478-284-3985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "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 Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.