Organization Active NPI

North Fulton Psychological Services, Inc.

  • Rehabilitation Psychologist
  • Alpharetta, GA
National Provider Identifier
1689813412
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
PSY001879 Issued in GA
Legal business name
NORTH FULTON PSYCHOLOGICAL SERVICES, INC.
Practice address
41 Milton Ave
Suite 207
Alpharetta, GA 30009-1570
Phone
(770) 752-8999
Fax
(678) 277-9181
NPI assigned
Feb 18, 2009
Last updated
Feb 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Dr. Carol Cox Pursley, PH.D., M.S.
Title
Ceo
Phone
(770) 752-8999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY001879 GA
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X PSY001879 GA Primary

Addresses

Primary practice location

41 Milton Ave
Suite 207
Alpharetta, GA 30009-1570

Mailing address

41 Milton Ave
Suite 207
Alpharetta, GA 30009-1570
Phone (770) 752-8999

National Provider Directory

National Provider Directory

Locations

4015 Nine McFarland Dr
Ste 175
Alpharetta, GA 30004
Phone (678) 982-9039

41 Milton Ave
Ste 207
Alpharetta, GA 30009
Phone (770) 752-8999

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1689813412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MILTON AVE",
            "address_2": "SUITE 207",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091570",
            "telephone_number": "770-752-8999",
            "fax_number": "678-277-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MILTON AVE",
            "address_2": "SUITE 207",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091570",
            "telephone_number": "770-752-8999",
            "fax_number": "678-277-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FULTON PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "PURSLEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "COX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-752-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., M.S."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY001879",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "GA",
            "license": "PSY001879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.