Lily Victoria Kadosh, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY29337 Issued in CA

Practice address

2090 Dunwoody Club Dr Ste 106-196
Atlanta, GA 30350-5434

Phone

(770) 809-6995

NPI assigned

Dec 1, 2017

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peach and Palm Women'S Health Psychology, PC

  • Psychologist
  • Atlanta, GA
  • NPI 1376389213
  NPD Authorized official

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1902311756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 DUNWOODY CLUB DR STE 106 #196",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303505421",
            "telephone_number": "770-809-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 DUNWOODY CLUB DR STE 106-196",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303505434",
            "telephone_number": "770-809-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADOSH",
        "first_name": "LILY",
        "middle_name": "VICTORIA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY29337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rishin Jatin Kadakia, MD
• Carol Kadamani, OTR/L
• Kadan Corporation
• Kadence Care LLC
• Nadja Kadom, MD
• Temilade Oluisa Kadree, DDS
• Logan Kafer
• Zipporah Kaffey
• Jessica Kafor
• Stephen A Kagan, M.D.

• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.