Individual provider Active NPI

Savanna Rae Sablich Duley, PHD

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1851026629
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
004612 Issued in GA
Practice address
6667 Vernon Woods Dr Ste A20
Atlanta, GA 30328-3238
Phone
(404) 390-1322
NPI assigned
Jul 18, 2022
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 004612 GA Primary

Addresses

Primary practice location

6667 Vernon Woods Dr Ste A20
Atlanta, GA 30328-3238

Mailing address

6667 Vernon Woods Dr Ste A20
Atlanta, GA 30328-3238
Phone (404) 390-1322

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
004612GAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Autism Assessment Center CurrentSince Jul 24, 2022 Accepting new patients

Locations

1866 Independence Sq
Dunwoody, GA 30338
Phone (404) 390-1322

6667 Vernon Woods Dr
Ste A20
Sandy Springs, GA 30328
Phone (404) 390-1322

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1851026629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6667 VERNON WOODS DR STE A20",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283238",
            "telephone_number": "404-390-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6667 VERNON WOODS DR STE A20",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283238",
            "telephone_number": "404-390-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULEY",
        "first_name": "SAVANNA",
        "middle_name": "RAE SABLICH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "004612",
            "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 Jul 18, 2022; 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.