NPIMap

Organization Active NPI

Nicholas Hume PHD PC

Doing business as East Cobb Family Counceling Center

  • Clinical Psychologist
  • Marietta, GA
National Provider Identifier
1508857475
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
505 Issued in GA
Legal business name
NICHOLAS HUME PHD PC
Doing business as
East Cobb Family Counceling Center
Practice address
4994 Lower Roswell Rd
Suite 29
Marietta, GA 30068-4332
Phone
(770) 977-2987
Fax
(678) 236-6041
NPI assigned
Oct 31, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nicholas Hume, PHDNPI 1699766568
Title
President
Phone
(770) 977-2987

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 505 GA Primary

Addresses

Primary practice location

4994 Lower Roswell Rd
Suite 29
Marietta, GA 30068-4332

Mailing address

4994 Lower Roswell Rd
Suite 29
Marietta, GA 30068-4332
Phone (770) 977-2987

Other names 1

  • East Cobb Family Counceling Center Doing business as

National Provider Directory

National Provider Directory

Locations

4994 Lower Roswell Rd
Ste 29
Marietta, GA 30068
Phone (404) 433-2344

Practitioners & affiliated clinicians

Practitioners 2

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": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508857475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4994 LOWER ROSWELL RD",
            "address_2": "SUITE 29",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684332",
            "telephone_number": "770-977-2987",
            "fax_number": "678-236-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4994 LOWER ROSWELL RD",
            "address_2": "SUITE 29",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684332",
            "telephone_number": "770-977-2987",
            "fax_number": "678-236-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS HUME PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUME",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-977-2987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Cobb Family Counceling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.