Organization Active NPI

Amy L. Alderson, PH.D. LLC

  • Clinical Psychologist
  • Alpharetta, GA
National Provider Identifier
1821214404
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2514 Issued in GA
Legal business name
AMY L. ALDERSON, PH.D. LLC
Practice address
1071 Cambridge SQ
Suite E
Alpharetta, GA 30004-1843
Phone
(404) 668-1331
Fax
(678) 393-8637
NPI assigned
Apr 18, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Amy L Alderson, PH.D.
Title
President
Phone
(404) 668-1331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 2514 GA
Clinical Psychologist 103TC0700X 2514 GA Primary

Addresses

Primary practice location

1071 Cambridge SQ
Suite E
Alpharetta, GA 30004-1843

Mailing address

1071 Cambridge SQ
Suite E
Alpharetta, GA 30004-1843
Phone (404) 668-1331

Other identifiers 1

IdentifierTypeStateIssuer
00965225BMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1821214404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 CAMBRIDGE SQ",
            "address_2": "SUITE E",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041843",
            "telephone_number": "404-668-1331",
            "fax_number": "678-393-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 CAMBRIDGE SQ",
            "address_2": "SUITE E",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041843",
            "telephone_number": "404-668-1331",
            "fax_number": "678-393-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY L. ALDERSON, PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ALDERSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-668-1331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "2514",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "2514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00965225B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.