Individual provider Active NPI

Cortney Weissglass, PSYD

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1790037281
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY003784 Issued in GA
Practice address
25 Lenox Pointe NE Ste B
Atlanta, GA 30324-7420
Phone
(404) 913-4824
NPI assigned
Oct 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 091766 NY
Psychologist 103T00000X PSY003784 GA Primary
Psychologist 103T00000X 4506 NC

Addresses

Primary practice location

25 Lenox Pointe NE Ste B
Atlanta, GA 30324-7420

Mailing address

1059 W Nancy Creek Dr NE
Brookhaven, GA 30319-1646
Phone (404) 913-4824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY003784GAMDPsychologist
091766NYMDPsychologist
4506NCMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1790037281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 W NANCY CREEK DR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303191646",
            "telephone_number": "404-913-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LENOX POINTE NE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303247420",
            "telephone_number": "404-913-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSGLASS",
        "first_name": "CORTNEY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "091766",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003784",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.