Active NPI
Zaraly Cortez
- Clinical Psychologist
- Decatur, GA
National Provider Identifier
1710611694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY004847
- Practice address
- 1670 Clairmont Rd
Decatur, GA 30033-4004 - Phone
- (678) 225-0350
- NPI assigned
- Jul 15, 2022
- Last updated
- Dec 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY004847 | GA | Primary |
Addresses
Primary practice location
1670 Clairmont Rd
Decatur, GA 30033-4004
Mailing address
1982 Yucca Dr
Decatur, GA 30032-5835
Phone (229) 326-9279
Other practice location 1
7714 Conner Rd Ste 105
Powell, TN 37849-3559
Phone (865) 947-6220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY004847 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1710611694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1982 YUCCA DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300325835",
"telephone_number": "229-326-9279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 CLAIRMONT RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334004",
"telephone_number": "678-225-0350"
}
],
"practiceLocations": [
{
"address_1": "7714 Conner Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Powell",
"state": "TN",
"postal_code": "378493559",
"country_code": "US",
"telephone_number": "865-947-6220",
"fax_number": "865-512-1069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORTEZ",
"first_name": "ZARALY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY004847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.