Powell Psychological Associates

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PSY000981 Issued in GA

Legal business name

POWELL PSYCHOLOGICAL ASSOCIATES

Practice address

2501 E Piedmont Rd
Suite 115
Marietta, GA 30062-7752

Phone

(404) 403-6177

NPI assigned

Mar 24, 2017

Last updated

Mar 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James L Powell, PHD

Title

Licensed Psychologist

Phone

(404) 403-6177

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Powell Psychological Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Powell Psychological Associates

  • Clinical Psychologist
  • Marietta, GA
  • NPI 1003169145
  NPD tax ID

Locations

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1881125557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E PIEDMONT RD",
            "address_2": "SUITE 115",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30062",
            "telephone_number": "404-403-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E PIEDMONT RD",
            "address_2": "SUITE 115",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627752",
            "telephone_number": "404-403-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL PSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-403-6177",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "PSY000981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000480686A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Postanowicz, PH.D, LMFT
• Cheryl Postell, NP
• Devon Potler-Jack
• Ashley Dekira Poullard, MD
• Powell Psychological Associates
• Elizabeth Hoover Powell, PT, DPT
• Ian David Powell, M.D.
• Jasmine Powell, CNM
• Jennifer Turner Powell, M.S., LPC
• Jessie Hannah Powell, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Marietta, GA
• Providers in Marietta, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.