Individual provider Active NPI

Mary Decruise-Oates, PSY.D

  • Clinical Psychologist
  • Stockbridge, GA
National Provider Identifier
1679758429
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3737 Issued in GA
Practice address
950 Eagles Landing Pkwy Ste 321
Stockbridge, GA 30281-7343
Phone
(478) 284-3985
NPI assigned
Dec 28, 2007
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY1874 HI
Clinical Psychologist 103TC0700X 7636 FL
Clinical Psychologist 103TC0700X 0810004038 VA
Clinical Psychologist 103TC0700X 20-06 AR
Clinical Psychologist 103TC0700X 3737 GA Primary
Clinical Psychologist 103TC0700X 021513 NY
Clinical Psychologist 103TC0700X 4268 NC

Addresses

Primary practice location

950 Eagles Landing Pkwy Ste 321
Stockbridge, GA 30281-7343

Mailing address

950 Eagles Landing Pkwy Ste 321
Stockbridge, GA 30281-7343
Phone (478) 284-3985

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
20-06ARMDClinical Psychologist
3737GAMDClinical Psychologist
PSY1874HIMDClinical Psychologist
0810004038VAMDClinical Psychologist
021513NYMDPhysical Therapist
4268NCMDPhysical Therapy Assistant
7636FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
DMHG Psychological Services LLC Clinical CurrentSince Jun 30, 2024 Accepting new patients

Locations

2086 Jodeco Rd
McDonough, GA 30253
Phone (770) 274-3666

2450 Vinson Hwy SE
Milledgeville, GA 31061
Phone (478) 445-4128

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1679758429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 EAGLES LANDING PKWY STE 321",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817343",
            "telephone_number": "478-284-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 EAGLES LANDING PKWY STE 321",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817343",
            "telephone_number": "478-284-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECRUISE-OATES",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY1874",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "7636",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004038",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "20-06",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "3737",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021513",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.