Individual provider Active NPI

Sumati Gupta, PHD

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1700137932
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
019692 Issued in NY
Practice address
3715 Northside Pkwy NW
Building 100, Suite 500
Atlanta, GA 30327
Phone
(646) 543-2281
NPI assigned
Sep 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 019692 NY Primary

Addresses

Primary practice location

3715 Northside Pkwy NW
Building 100, Suite 500
Atlanta, GA 30327

Mailing address

3715 Northside Pkwy NW
Building 100, Suite 500
Atlanta, GA 30327
Phone (646) 543-2281

Other practice location 1

277 Broadway Ste 1010
New York, NY 10007-2872
Phone (646) 543-2281

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
019692NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1700137932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 NORTHSIDE PKWY NW",
            "address_2": "BUILDING 100, SUITE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30327",
            "telephone_number": "646-543-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 NORTHSIDE PKWY NW",
            "address_2": "BUILDING 100, SUITE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30327",
            "telephone_number": "646-543-2281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 Broadway Ste 1010",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100072872",
            "country_code": "US",
            "telephone_number": "646-543-2281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SUMATI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.