Active NPI
Cumberland Lifespan Consultants, P.C.
- Clinical Psychologist
- Marietta, GA
National Provider Identifier
1780673152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Marietta, GA
- NPI 1235128323
-
- Clinical Psychologist
- Marietta, GA
- NPI 1699766568
-
- Child & Adolescent Psychiatry Physician
- Marietta, GA
- NPI 1992798623
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.