Organization Active NPI

Waddle Services LLC

  • Psychologist
  • Decatur, GA
National Provider Identifier
1912893231
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WADDLE SERVICES LLC
Practice address
1262 Tacoma Way
Decatur, GA 30032-2437
Phone
(786) 253-5802
NPI assigned
Jun 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Mr. Jaime Rafael Cabre
Title
Partner & Co-Ceo
Phone
(786) 253-5802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1262 Tacoma Way
Decatur, GA 30032-2437

Mailing address

PO Box 458
Avondale Estates, GA 30002-0458
Phone (786) 253-5802

Other names 1

  • Waddle Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1912893231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "AVONDALE ESTATES",
            "state": "GA",
            "postal_code": "300020458",
            "telephone_number": "786-253-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 TACOMA WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322437",
            "telephone_number": "786-253-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADDLE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "CABRE",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PARTNER & CO-CEO",
        "authorized_official_telephone_number": "786-253-5802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waddle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waddle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.