Organization Active NPI

Atlanta Area Psychological Associates, P.C.

  • Psychologist
  • Marietta, GA
National Provider Identifier
1720131253
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ATLANTA AREA PSYCHOLOGICAL ASSOCIATES, P.C.
Practice address
2520 Windy Hill Rd SE
Suite 203
Marietta, GA 30067-8664
Phone
(770) 953-6401
Fax
(770) 953-6015
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Deborah L Carver
Title
Office Manager
Phone
(770) 953-6401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2520 Windy Hill Rd SE
Suite 203
Marietta, GA 30067-8664

Mailing address

2520 Windy Hill Rd SE
Suite 203
Marietta, GA 30067-8664
Phone (770) 953-6401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040526000113 GA Part B Supplier - Clinic/Group Practice 4587645635 Receives reassigned benefits from 6 practitioners
Practice locations: Acworth, GA; Marietta, GA; Rowell, GA

National Provider Directory

National Provider Directory

Locations

3950 Cobb Pkwy NW
Ste 805
Acworth, GA 30101
Phone (770) 953-6401

3950 Cobb Pkwy NW
Ste 803
Acworth, GA 30101
Phone 7709536401 ext. 330

1000 Cambridge Sq
Ste D
Alpharetta, GA 30009
Phone (770) 953-6401

2520 Windy Hill Rd SE
Ste 203
Marietta, GA 30067
Phone (770) 953-6401

555 Sun Valley Dr
Ste K3
Roswell, GA 30076
Phone (770) 953-6401

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720131253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL RD SE",
            "address_2": "SUITE 203",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678664",
            "telephone_number": "770-953-6401",
            "fax_number": "770-953-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL RD SE",
            "address_2": "SUITE 203",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678664",
            "telephone_number": "770-953-6401",
            "fax_number": "770-953-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA AREA PSYCHOLOGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-953-6401",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.