Susan Z. Volentine, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1048 Issued in GA

Practice address

122 Cherry St NE
Marietta, GA 30060-7206

Phone

(770) 427-2911

Fax

(770) 509-9529

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780614636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CHERRY ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607206",
            "telephone_number": "770-427-2911",
            "fax_number": "770-509-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CHERRY ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607206",
            "telephone_number": "770-427-2911",
            "fax_number": "770-509-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLENTINE",
        "first_name": "SUSAN",
        "middle_name": "Z.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "1048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00521243A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ester Vodovoz
• Tonya L Vogel, ARNP
• Meghan Vogt, LCSW
• Paige Nicole Vogt, PAC
• Gena H Volas-Redd, MD
• Eric Christopher Volz, DPT
• Sheridan Von Seelen, DC
• Vonnies LLC
• Tina Kim Vothang, MD
• Brittany Vrana

• Psychologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.