Harriet A Brodsky, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

002193 Issued in GA

Practice address

12 Norcross St
Suite 205
Roswell, GA 30075-7409

Phone

(770) 640-8989

Fax

(770) 993-3669

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679639249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NORCROSS ST",
            "address_2": "SUITE 205",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757409",
            "telephone_number": "770-640-8989",
            "fax_number": "770-993-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NORCROSS ST",
            "address_2": "SUITE 205",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757409",
            "telephone_number": "770-640-8989",
            "fax_number": "770-993-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "HARRIET",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "002193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00793075D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lauren Brougher, OTD
• Peyton Brouwer
• Amari Brown, RBT
• Barbara Blake Brown, M.S., L.P.C.

• Clinical Psychologist in Roswell, GA
• Providers in Roswell, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.