Julia Rizzo, PSY.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY004289 Issued in GA

Practice address

40 Franklin St Ste 400
Avondale Estates, GA 30002-1024

Phone

(678) 653-4487

NPI assigned

Sep 12, 2014

Last updated

May 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1861893513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E PONCE DE LEON AVE APT 1",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301976",
            "telephone_number": "508-523-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FRANKLIN ST STE 400",
            "city": "AVONDALE ESTATES",
            "state": "GA",
            "postal_code": "300021024",
            "telephone_number": "678-653-4487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 E Ponce De Leon Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301976",
            "country_code": "US",
            "telephone_number": "508-523-8198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY004289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Avondale Estates, GA
• Providers in Avondale Estates, GA by specialty
• Counseling Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.