Individual provider Active NPI

Franco Dispenza, PHD

  • Counseling Psychologist
  • Atlanta, GA
National Provider Identifier
1861964793
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY003828 Issued in GA
Practice address
805 Peachtree St NE Unit 410
Atlanta, GA 30308-6015
Phone
(518) 334-1414
NPI assigned
Dec 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY003828 GA Primary

Addresses

Primary practice location

805 Peachtree St NE Unit 410
Atlanta, GA 30308-6015

Mailing address

805 Peachtree St NE Unit 410
Atlanta, GA 30308-6015
Phone (518) 334-1414

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
PSY003828GAMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1861964793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 PEACHTREE ST NE UNIT 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303086015",
            "telephone_number": "518-334-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PEACHTREE ST NE UNIT 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303086015",
            "telephone_number": "518-334-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISPENZA",
        "first_name": "FRANCO",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY003828",
            "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 Dec 17, 2018; 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.