Active NPI
David Winograd, PH.D.
- Counseling Psychologist
- Woodstock, GA
National Provider Identifier
1407640493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 004876
- Practice address
- 6234 Old Highway 5, Suite D9 #136
Woodstock, GA 30188 - Phone
- (470) 719-1874
- NPI assigned
- Apr 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 004876 | GA | Primary |
Addresses
Primary practice location
6234 Old Highway 5, Suite D9 #136
Woodstock, GA 30188
Mailing address
6234 Old Highway 5, Suite D9 #136
Woodstock, GA 30188
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004876 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1407640493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6234 OLD HIGHWAY 5, SUITE D9 #136",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "30188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6234 OLD HIGHWAY 5, SUITE D9 #136",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "30188",
"telephone_number": "470-719-1874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINOGRAD",
"first_name": "DAVID",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-07",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "GA",
"license": "004876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.