Ren Massey, PH.D., Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY001444 Issued in GA

Legal business name

REN MASSEY, PH.D., INC.

Practice address

1244 Clairmont Rd
Suite 101
Decatur, GA 30030-1250

Phone

(404) 292-3400

Fax

(404) 292-3444

NPI assigned

Oct 17, 2006

Last updated

Mar 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ren Massey, PH.D.

Title

President

Phone

(404) 292-3400

Specialties & licenses 1

Addresses

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.

• Renelle Massey, PH.D.

  • Clinical Psychologist
  • Decatur, GA
  • NPI 1194860783
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1790865319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 SAUTE WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321842",
            "telephone_number": "404-292-3400",
            "fax_number": "404-292-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 CLAIRMONT RD",
            "address_2": "SUITE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301250",
            "telephone_number": "404-292-3400",
            "fax_number": "404-292-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REN MASSEY, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "REN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-292-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY001444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.