NPIMap

Organization Active NPI

Rachelle Y. Edwards, PH.D.

  • Clinical Psychologist
  • Decatur, GA
National Provider Identifier
1427215532
Registry record updated May 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2891 Issued in GA
Legal business name
RACHELLE Y. EDWARDS, PH.D.
Practice address
3735 Memorial Dr
Suite 100
Decatur, GA 30032-2202
Phone
(678) 553-0268
NPI assigned
May 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2008

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

Authorized official

Name
Dr. Rachelle Y EdwardsNPI 1326103078
Title
Ownder
Phone
(678) 553-0268

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 2891 GA Primary

Addresses

Primary practice location

3735 Memorial Dr
Suite 100
Decatur, GA 30032-2202

Mailing address

3735 Memorial Dr
Suite 100
Decatur, GA 30032-2202

National Provider Directory

National Provider Directory

Locations

3735 Memorial Dr
Ste 100
Decatur, GA 30032
Phone (404) 284-2888

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": "1211068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211068800000",
    "number": "1427215532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 MEMORIAL DR",
            "address_2": "SUITE 100",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 MEMORIAL DR",
            "address_2": "SUITE 100",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322202",
            "telephone_number": "678-553-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHELLE Y. EDWARDS, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-18",
        "last_updated": "2008-05-18",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "678-553-0268",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "2891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2008; 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.