Organization Active NPI

Cumberland Lifespan Consultants, P.C.

  • Clinical Psychologist
  • Marietta, GA
National Provider Identifier
1780673152
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CUMBERLAND LIFESPAN CONSULTANTS, P.C.
Practice address
4994 Lower Roswell Rd
Suite #29
Marietta, GA 30068-4332
Phone
(404) 433-2344
Fax
(678) 236-6041
NPI assigned
Oct 19, 2005
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
Dr. Thomas L. Weaver, PSY.D.NPI 1235128323
Title
President Ceo
Phone
(404) 433-2344

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X GA Primary

Addresses

Primary practice location

4994 Lower Roswell Rd
Suite #29
Marietta, GA 30068-4332

Mailing address

4994 Lower Roswell Rd
Suite #29
Marietta, GA 30068-4332
Phone (404) 433-2344

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780673152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4994 LOWER ROSWELL RD",
            "address_2": "SUITE #29",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684332",
            "telephone_number": "404-433-2344",
            "fax_number": "678-236-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4994 LOWER ROSWELL RD",
            "address_2": "SUITE #29",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684332",
            "telephone_number": "404-433-2344",
            "fax_number": "678-236-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND LIFESPAN CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "404-433-2344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.