Reach Higher Psychological Services LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

REACH HIGHER PSYCHOLOGICAL SERVICES LLC

Practice address

1027 Bridgegate CT NE
Marietta, GA 30068-2201

Phone

(412) 716-2345

NPI assigned

Oct 29, 2024

Organization subpart

No

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

Authorized official

Name

Addam Joseph Wawrzonek, PHDNPI 1811503881

Title

Owner

Phone

(412) 716-2345

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Addam Wawrzonek, PHD

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1811503881
  NPD Authorized official

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1710709886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 BRIDGEGATE CT NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682201",
            "telephone_number": "412-716-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 BRIDGEGATE CT NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682201",
            "telephone_number": "412-716-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH HIGHER PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "WAWRZONEK",
        "authorized_official_first_name": "ADDAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-716-2345",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Ray, PA-C
• Raymond Gaskey D.C. P.C. (Bradford Family Chiropractic)
• Molly Anna Raynor
• Peter Keith Re, M.D.
• Reach Chiropractic LLC
• Victoria Reaid, RBT
• Jessica Powley Reale, PT
• Cristina Reale', NP-C
• Jeremy Roy Reardon, MD, MPH
• Reboot Psychotherapy LLC

• Clinical Child & Adolescent Psychologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Child & Adolescent Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.