Individual provider Active NPI

Donna Kay Ulrici, PH.D.

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1518007129
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1036 Issued in GA
Practice address
1864 Independence SQ
Suite a
Atlanta, GA 30338-5173
Phone
(770) 668-0350
NPI assigned
Feb 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1036 GA Primary

Addresses

Primary practice location

1864 Independence SQ
Suite a
Atlanta, GA 30338-5173

Mailing address

1501 Bend Creek CT
Atlanta, GA 30338-2703
Phone (770) 668-0350

Other identifiers 1

IdentifierTypeStateIssuer
00353757CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110607000809 GA Practitioner - Clinical Psychologist 5698952257 Practice locations: Dunwoody, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1864 Independence SQ
Suite a
Atlanta, GA 30338-5160

1864 Independence SQ a
Dunwoody, GA 30338-5160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1036GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Network for Individual and Family Therapy Psychologist PastSince Jul 29, 1994 Accepting new patients
WHG Psychological Services LLC PastSince Oct 18, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518007129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BEND CREEK CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303382703",
            "telephone_number": "770-668-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 INDEPENDENCE SQ",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385173",
            "telephone_number": "770-668-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICI",
        "first_name": "DONNA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "1036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00353757C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.