Organization Active NPI

Cognitive Rehabilitation of Georgia, PC

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1841525987
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00220379 Issued in GA
Legal business name
COGNITIVE REHABILITATION OF GEORGIA, PC
Practice address
2296 Henderson Mill Road NE
Suite 305
Atlanta, GA 30345
Phone
(404) 929-9009
Fax
(404) 929-9005
NPI assigned
Oct 7, 2009
Last updated
Feb 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Dr. John R Sass, PH.D.NPI 1093858854
Title
President/Clinical Neuropsychologis
Phone
(404) 929-9009

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)CodeLicenseStatePrimary
Psychologist 103T00000X 00220379 GA Primary

Addresses

Primary practice location

2296 Henderson Mill Road NE
Suite 305
Atlanta, GA 30345

Mailing address

2296 Henderson Mill Road NE
Suite 305
Atlanta, GA 30345
Phone (404) 929-9009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100806000244 GA Part B Supplier - Clinic/Group Practice 8224161567 Receives reassigned benefits from 2 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

2296 Henderson Mill Rd NE
Ste 305
Atlanta, GA 30345
Phone (404) 929-9009

1276 McConnell Dr
Ste C
Decatur, GA 30033
Phone (404) 321-1441

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1841525987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 HENDERSON MILL ROAD NE",
            "address_2": "SUITE 305",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30345",
            "telephone_number": "404-929-9009",
            "fax_number": "404-929-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 HENDERSON MILL ROAD NE",
            "address_2": "SUITE 305",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30345",
            "telephone_number": "404-929-9009",
            "fax_number": "404-929-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE REHABILITATION OF GEORGIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "SASS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL NEUROPSYCHOLOGIS",
        "authorized_official_telephone_number": "404-929-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "00220379",
            "primary": true
        }
    ],
    "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 Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.