Active NPI
Elizabeth Newton, PSYD and Assoc Inc
- Clinical Psychologist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Newton, PSYD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801137690 | Other | GA | NPI |
| 003132009G | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
2857 Henderson Mill Rd
Ste B
Atlanta, GA 30341
Phone (404) 653-1117
Interoperability endpoints
- 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.
-
- Clinical Psychologist
- Kennesaw, GA
- NPI 1801137690
-
- Clinical Psychologist
- Atlanta, GA
- NPI 1053319947
-
- Clinical Psychologist
- Cumming, GA
- NPI 1699439208
-
- Clinical Psychologist
- Atlanta, GA
- NPI 1124080395
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.