Affiliated Psychological Services, PC – Psychologist

Key facts

NPI: 1619202918
Entity type: Organization (NPI type 2)
Primary specialty: Psychologist 103T00000X
License: 896 (GA)
Legal business name: AFFILIATED PSYCHOLOGICAL SERVICES, PC
Practice address: 6030 Bethelview Rd
Suite 401
Cumming, GA 30040-8020
Phone: (770) 205-5760
Fax: (770) 205-5780
NPI assigned: Oct 5, 2009
Organization subpart: No

Authorized official

Name: Mr. Mark P Feinsilber, PH.D. NPI 1346339629
Title: Clinical Director
Phone: (770) 205-5760

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Mark P Feinsilber, PH.D. Clinical Psychologist · Cumming, GA · NPI 1346339629

NPD (past) Authorized official
Ellen Martin Logan, PH.D. Psychologist · Cumming, GA · NPI 1538254859

NPD (past) PSYCHOLOGIST

National Provider Directory

Locations

6030 Bethelview Rd
Ste 401
Cumming, GA 30040
Phone (770) 205-5760

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychologist Group: 193400000X SINGLE SPECIALTY GROUP	103T00000X	896	GA	Yes

Addresses

Primary practice location

6030 Bethelview Rd
Suite 401
Cumming, GA 30040-8020

Mailing address

6030 Bethelview Rd
Suite 401
Cumming, GA 30040-8020
Phone (770) 205-5760

Other providers in Cumming, GA

All providers in Cumming, GA · Psychologist in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.