Organization Active NPI

North River Psychological Associates

  • Clinical Psychologist
  • Roswell, GA
National Provider Identifier
1972648053
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY001128 Issued in GA
Legal business name
NORTH RIVER PSYCHOLOGICAL ASSOCIATES
Practice address
11205 Alpharetta Hwy.
Ste. a-4
Roswell, GA 30076
Phone
(770) 754-0751
Fax
(770) 754-0752
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lynn Mary Karjala, PH.D.
Title
President
Phone
(770) 754-0751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY001128 GA Primary

Addresses

Primary practice location

11205 Alpharetta Hwy.
Ste. a-4
Roswell, GA 30076

Mailing address

11205 Alpharetta Hwy.
Ste. a-4
Roswell, GA 30076
Phone (770) 754-0751

National Provider Directory

National Provider Directory

Locations

11205 Alpharetta Hwy
Ste A4
Roswell, GA 30076
Phone (770) 754-0751

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972648053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 ALPHARETTA HWY.",
            "address_2": "STE. A-4",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "770-754-0751",
            "fax_number": "770-754-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11205 ALPHARETTA HWY.",
            "address_2": "STE. A-4",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "770-754-0751",
            "fax_number": "770-754-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RIVER PSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KARJALA",
        "authorized_official_first_name": "LYNN MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-754-0751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY001128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.