Judy S. Pemberton, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY001100 Issued in GA

Practice address

1145 Sheridan Rd NE
Atlanta, GA 30324-3714

Phone

(404) 325-8512

Fax

(404) 325-8733

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Judy & Bruce Pemberton, LLC

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1750642419
  NPD (past) Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1427198217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 PIEDMONT AVE NE",
            "address_2": "#1502",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093780",
            "telephone_number": "404-325-8512",
            "fax_number": "404-325-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 SHERIDAN RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243714",
            "telephone_number": "404-325-8512",
            "fax_number": "404-325-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBERTON",
        "first_name": "JUDY",
        "middle_name": "S.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY001100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Antonio Pellizzari II, MD
• Dawn Pelow
• Arie E Pelta, M.D.
• Bernadette A Peltier, MD
• Eversley Devon Pemberton, PH.D.
• William Pemu
• Jorge Isaac Pena Garcia, M.D.
• Marioly Pena-Donady
• Gyliann M Pena
• Juan Armando Pena, MD

• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.