Organization Active NPI

Young Folk Psychological Services, LLC

  • Counseling Psychologist
  • Decatur, GA
National Provider Identifier
1770218638
Registry record updated Jul 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
YOUNG FOLK PSYCHOLOGICAL SERVICES, LLC
Practice address
1123 Clairemont Ave
Decatur, GA 30030-1207
Phone
(678) 837-6529
NPI assigned
Jul 22, 2022
Last updated
Jul 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2022

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

Authorized official

Name
Dr. Karen B Traylor-Adolph, PHD, LPCNPI 1255656393
Title
Licensed Psychologist
Phone
(678) 837-6529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Counseling Psychologist 103TC1900X NU Primary
Clinical Child & Adolescent Psychologist 103TC2200X NU
Family Psychologist 103TF0000X NU

Addresses

Primary practice location

1123 Clairemont Ave
Decatur, GA 30030-1207

Mailing address

1123 Clairemont Ave
Decatur, GA 30030-1207
Phone (678) 837-6529

National Provider Directory

National Provider Directory

Locations

1123 Clairemont Ave
Decatur, GA 30030
Phone (404) 905-5858

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": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658534400000",
    "number": "1770218638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 CLAIREMONT AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301207",
            "telephone_number": "678-837-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 CLAIREMONT AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301207",
            "telephone_number": "678-837-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG FOLK PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR-ADOLPH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "678-837-6529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 23, 2022; 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.