Active NPI
Syb Pongracic
- Psychologist
- Atlanta, GA
National Provider Identifier
1649938655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 199 Armour Dr NE Ste E
Atlanta, GA 30324-3975 - Phone
- (404) 220-8188
- NPI assigned
- Dec 7, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
199 Armour Dr NE Ste E
Atlanta, GA 30324-3975
Mailing address
199 Armour Dr NE
Atlanta, GA 30324-3973
Phone (404) 220-8188
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1649938655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 ARMOUR DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303243973",
"telephone_number": "404-220-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 ARMOUR DR NE STE E",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303243975",
"telephone_number": "404-220-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONGRACIC",
"first_name": "SYB",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2022-02-21",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"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 Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.