Active NPI
Ashley Pettoni, PSY.D.
- Psychologist
- Athens, GA
National Provider Identifier
1962618082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY003250
- Practice address
- 485 Huntington Rd
Suite 199
Athens, GA 30606-1861 - Phone
- (706) 546-8440
- Fax
- (706) 546-8456
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY003250 | GA | Primary |
Addresses
Primary practice location
485 Huntington Rd
Suite 199
Athens, GA 30606-1861
Mailing address
2625 Piedmont Rd NE
Suite 56-298
Atlanta, GA 30324-3086
Phone (404) 550-0388
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003250 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darnyl R. Katzinger, Psy.D., Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Athens, GA
- NPI 1407092026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1962618082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 PIEDMONT RD NE",
"address_2": "SUITE 56-298",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303243086",
"telephone_number": "404-550-0388",
"fax_number": "706-546-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 HUNTINGTON RD",
"address_2": "SUITE 199",
"city": "ATHENS",
"state": "GA",
"postal_code": "306061861",
"telephone_number": "706-546-8440",
"fax_number": "706-546-8456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTONI",
"first_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY003250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.