Individual provider Active NPI

Isabella Maria Palumbo, PH.D.

  • Clinical Psychologist
  • Cumming, GA
National Provider Identifier
1699439208
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY900348 Issued in GA
Practice address
110 Samaritan Dr Ste 204
Cumming, GA 30040-2569
Phone
(470) 239-0060
NPI assigned
Oct 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY900348 GA Primary

Addresses

Primary practice location

110 Samaritan Dr Ste 204
Cumming, GA 30040-2569

Mailing address

5305 Keithwood Dr
Cumming, GA 30040-5897
Phone (239) 580-8963

Other practice location 1

2857 Henderson Mill Rd Ste B
Atlanta, GA 30341-5772
Phone (404) 653-1117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260623000291 GA Practitioner - Clinical Psychologist 9032682901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1208 N Dogwood Dr
Surfside Beach, SC 29575-4243

5305 Keithwood Dr
Cumming, GA 30040-5897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY900348GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Newton, PSYD and Assoc Inc Clinical CurrentSince Jun 10, 2026 Accepting new patients
Georgia State University Physical PastSince Oct 1, 2021 Accepting new patients

Locations

2857 Henderson Mill Rd
Ste B
Atlanta, GA 30341
Phone (404) 653-1117

Organizations & group practices 2

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": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1699439208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 KEITHWOOD DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300405897",
            "telephone_number": "239-580-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SAMARITAN DR STE 204",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402569",
            "telephone_number": "470-239-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2857 Henderson Mill Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303415772",
            "country_code": "US",
            "telephone_number": "404-653-1117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "ISABELLA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY900348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.