Dr. Patricia Farley, PHD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2417 Issued in GA

Legal business name

DR. PATRICIA FARLEY, PHD, LLC

Practice address

1770 Indian Trail Rd
Suite 200
Norcross, GA 30093-2645

Phone

(727) 560-8400

Fax

(678) 287-8501

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Farley, PHD

Title

Psychologist/Owner

Phone

(770) 298-1000

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1679692180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "770-298-1000",
            "fax_number": "866-298-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 INDIAN TRAIL RD",
            "address_2": "SUITE 200",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932645",
            "telephone_number": "727-560-8400",
            "fax_number": "678-287-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PATRICIA FARLEY, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "770-298-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "2417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00872429D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00872429C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "D2797AAD9D",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Duke Healthcare Enterprises, Inc.
• Dr. Gabriel Colon O.D.
• Dr. Kissing OB & GYN
• Dr. Milan Dhanani PC
• Dr. Milan Dhanani PC
• Dr. Pierre Rousse, LLC
• Mallory Meagher Drake, PA-C
• Ronald M Dressler, DDS
• Daryll Dubal, P.T.
• Alexandra Marie Dudley, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.