Elizabeth Krakow, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3052 Issued in GA

Practice address

1123 Clairemont Road
Decatur, GA 30030

Phone

(678) 909-9028

NPI assigned

Aug 31, 2022

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1891415709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 CLAIREMONT AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 CLAIREMONT ROAD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30030",
            "telephone_number": "678-909-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKOW",
        "first_name": "ELIZABETH",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "3052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madhava R Koti, MD
• Heather I Kotler, LCSW
• Nancy S Koughan, D.O.
• Woojin Kwak Kowalk, D.O.
• Elizabeth Krakovski, BS
• Jerald Noel Kramer, DPM
• Karolyn J Kramer, MD
• Michael R. Kramer, P.A-C
• Rachel Michele Kramer, D.O.
• Kathleen Zera Kray, LCSW

• Clinical Psychologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.