Organization Active NPI

Gunter Psychological Services, LLC

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1417374141
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY003145 Issued in GA
Legal business name
GUNTER PSYCHOLOGICAL SERVICES, LLC
Practice address
3205 Wellington Walk SW
Atlanta, GA 30331-5452
Phone
(404) 788-1925
NPI assigned
Mar 19, 2014
Last updated
Mar 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Dr. Kensa K. Gunter, PSY.D.NPI 1659637528
Title
Owner/Sole Member
Phone
(404) 788-1925

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY003145 GA Primary
Exercise & Sports PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TE1100X PSY003145 GA

Addresses

Primary practice location

3205 Wellington Walk SW
Atlanta, GA 30331-5452

Mailing address

3205 Wellington Walk SW
Atlanta, GA 30331-5452
Phone (404) 788-1925

National Provider Directory

National Provider Directory

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": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1417374141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 WELLINGTON WALK SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315452",
            "telephone_number": "404-788-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 WELLINGTON WALK SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315452",
            "telephone_number": "404-788-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNTER PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "GUNTER",
        "authorized_official_first_name": "KENSA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "404-788-1925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003145",
            "primary": true
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": "GA",
            "license": "PSY003145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.