Organization Active NPI

Elizabeth Newton, PSYD and Assoc Inc

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1972123883
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ELIZABETH NEWTON, PSYD AND ASSOC INC
Practice address
1827 Powers Ferry Rd
BLDG 21
Atlanta, GA 30339
Phone
(404) 653-1117
Fax
(404) 880-0133
NPI assigned
Apr 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Elizabeth Newton, PSYDNPI 1801137690
Title
Owner
Phone
(404) 653-1117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1827 Powers Ferry Rd
BLDG 21
Atlanta, GA 30339

Mailing address

1827 Powers Ferry Rd
BLDG 21
Atlanta, GA 30339
Phone (404) 653-1117

Other practice location 1

340 Boulevard NE Ste 611
Atlanta, GA 30312-1286
Phone (404) 653-1117

Other practice location 2

1031 Railroad St NW Ste B
Conyers, GA 30012-5108
Phone (404) 653-1117

Other identifiers 2

IdentifierTypeStateIssuer
1801137690OtherGANPI
003132009GMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ADMIN@SANTAVICCAPC.COM Gary Santavicca, Ph.D. and Associates

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240903002443 GA Part B Supplier - Clinic/Group Practice 5597204628 Receives reassigned benefits from 3 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

2857 Henderson Mill Rd
Ste B
Atlanta, GA 30341
Phone (404) 653-1117

Interoperability endpoints

  • Direct secure messaging: admin@santaviccapc.com

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1972123883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 POWERS FERRY RD",
            "address_2": "BLDG 21",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339",
            "telephone_number": "404-653-1117",
            "fax_number": "404-880-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 POWERS FERRY RD",
            "address_2": "BLDG 21",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339",
            "telephone_number": "404-653-1117",
            "fax_number": "404-880-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Boulevard NE Ste 611",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303121286",
            "country_code": "US",
            "telephone_number": "404-653-1117",
            "fax_number": "404-880-0133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 Railroad St NW Ste B",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300125108",
            "country_code": "US",
            "telephone_number": "404-653-1117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELIZABETH NEWTON, PSYD AND ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-653-1117",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801137690",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003132009G",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ADMIN@SANTAVICCAPC.COM",
            "affiliation": "Y",
            "affiliationName": "Gary Santavicca, Ph.D. and Associates",
            "address_1": "1827 POWERS FERRY RD",
            "address_2": "BLDG 21",
            "city": "ATLANTA",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.