Organization Active NPI

Alesya Korey

  • Clinical Psychologist
  • Marietta, GA
National Provider Identifier
1760999767
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY3835 Issued in GA
Legal business name
ALESYA KOREY
Practice address
540 Powder Springs St Ste E31
Marietta, GA 30064-3563
Phone
(404) 862-8106
NPI assigned
Dec 29, 2017
Last updated
Dec 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Authorized official

Name
Alesya KoreyNPI 1467903609
Title
Clinical Psychologist
Phone
(404) 862-8106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY3835 GA Primary

Addresses

Primary practice location

540 Powder Springs St Ste E31
Marietta, GA 30064-3563

Mailing address

540 Powder Springs St Ste E31
Marietta, GA 30064-3563
Phone (404) 862-8106

Other identifiers 1

IdentifierTypeStateIssuer
003191658AMedicaidGA

National Provider Directory

National Provider Directory

Locations

540 Powder Springs St
Ste E31
Marietta, GA 30064
Phone (404) 862-8106

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1760999767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE E31",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643563",
            "telephone_number": "404-862-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE E31",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643563",
            "telephone_number": "404-862-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALESYA KOREY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "KOREY",
        "authorized_official_first_name": "ALESYA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-862-8106"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY3835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003191658A",
            "state": "GA"
        }
    ],
    "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 Dec 29, 2017; 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.