Individual provider Active NPI

Elizabeth Newton, PSYD

  • Clinical Psychologist
  • Kennesaw, GA
National Provider Identifier
1801137690
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY003626 Issued in GA
Practice address
4255 Wade Green Rd NW
Ste 414
Kennesaw, GA 30144-1762
Phone
(678) 213-2194
NPI assigned
Mar 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY003626 GA Primary

Addresses

Primary practice location

4255 Wade Green Rd NW
Ste 414
Kennesaw, GA 30144-1762

Mailing address

4255 Wade Green Rd NW
Ste 414
Kennesaw, GA 30144-1762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730011463 GA Practitioner - Psychologist Billing Independently 1557683208 Reassigns benefits to 1 organization
Practice locations: Atlanta, GA; Conyers, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elizabeth Newton, PSYD and Assoc IncGroup PAC ID 5597204628, 2 clinicians

Practice addresses (Care Compare)

2857 Henderson Mill Rd
Suite B
Atlanta, GA 30341-5772
Phone (404) 653-1117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Newton, PSYD and Assoc Inc Clinical CurrentSince Jul 5, 2024 Accepting new patients

Locations

1827 Powers Ferry Rd SE
Ste 21
Atlanta, GA 30339
Phone (404) 653-1117

340 Boulevard NE
Ste 611
Atlanta, GA 30312
Phone (404) 653-1117

2857 Henderson Mill Rd
Ste B
Atlanta, GA 30341
Phone (404) 653-1117

1031 Railroad St NW
Ste B
Conyers, GA 30012
Phone (404) 653-1117

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1801137690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 WADE GREEN RD NW",
            "address_2": "STE 414",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 WADE GREEN RD NW",
            "address_2": "STE 414",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441762",
            "telephone_number": "678-213-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "ELIZABETH",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.