Organization Active NPI

Newbridge NW Psychology Associates

  • Psychologist
  • Cartersville, GA
National Provider Identifier
1619002128
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NEWBRIDGE NW PSYCHOLOGY ASSOCIATES
Practice address
108 Forrest Ave
Cartersville, GA 30120-3614
Phone
(770) 386-6222
Fax
(770) 386-9801
NPI assigned
Feb 23, 2007
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
Mr. Joseph Marbury
Title
Ceo
Phone
(770) 386-6222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

108 Forrest Ave
Cartersville, GA 30120-3614

Mailing address

108 Forrest Ave
P.O. Box 3747
Cartersville, GA 30120-3614
Phone (770) 386-6222

National Provider Directory

National Provider Directory

Locations

108 Forrest Ave
Cartersville, GA 30120
Phone (770) 386-6222

Practitioners & affiliated clinicians

Practitioners 3

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619002128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 FORREST AVE",
            "address_2": "P.O. BOX 3747",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203614",
            "telephone_number": "770-386-6222",
            "fax_number": "770-386-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FORREST AVE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203614",
            "telephone_number": "770-386-6222",
            "fax_number": "770-386-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBRIDGE NW PSYCHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARBURY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-386-6222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, 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.