Individual provider Active NPI

Christi Lyn Bartolomucci, PH.D.

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1750410080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
002707 Issued in GA
Practice address
3500 Piedmont Rd NE
Suite 211
Atlanta, GA 30305-1507
Phone
(404) 846-2600
Fax
(404) 846-2700
NPI assigned
Mar 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 002707 GA Primary

Addresses

Primary practice location

3500 Piedmont Rd NE
Suite 211
Atlanta, GA 30305-1507

Mailing address

1122 Drewsbury CT SE
Smyrna, GA 30080-3960
Phone (404) 808-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 6, 2024 through Mar 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
002707GAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids on the Move, LLC Past Accepting new patients
Healing Hearts Psychology Consultants, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750410080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 DREWSBURY CT SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803960",
            "telephone_number": "404-808-3370",
            "fax_number": "404-846-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 PIEDMONT RD NE",
            "address_2": "SUITE 211",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051507",
            "telephone_number": "404-846-2600",
            "fax_number": "404-846-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLOMUCCI",
        "first_name": "CHRISTI",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "002707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.