Active NPI
Darnyl Randi Katzinger, PSY.D.
- Clinical Child & Adolescent Psychologist
- Atlanta, GA
National Provider Identifier
1467647040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PSY003100
- Practice address
- 1778 Century Blvd NE
Suite a
Atlanta, GA 30345-3398 - Phone
- (404) 638-6650
- Fax
- (404) 638-6651
- NPI assigned
- Sep 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY003100 | GA | |
| Clinical Psychologist | 103TC0700X | PSY003100 | GA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY003100 | GA | Primary |
| Health Psychologist | 103TH0004X | PSY003100 | GA |
Addresses
Primary practice location
1778 Century Blvd NE
Suite a
Atlanta, GA 30345-3398
Mailing address
1778 Century Blvd NE
Suite a
Atlanta, GA 30345-3398
Phone (404) 638-6650
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003100 | GA | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1467647040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1778 CENTURY BLVD NE",
"address_2": "SUITE A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453398",
"telephone_number": "404-638-6650",
"fax_number": "404-638-6651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1778 CENTURY BLVD NE",
"address_2": "SUITE A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453398",
"telephone_number": "404-638-6650",
"fax_number": "404-638-6651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZINGER",
"first_name": "DARNYL",
"middle_name": "RANDI",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "GA",
"license": "PSY003100",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY003100",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "GA",
"license": "PSY003100",
"primary": true
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "GA",
"license": "PSY003100",
"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 Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.