Active NPI
Le'Roy E Reese, PH.D.
- Clinical Psychologist
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY002464
- Practice address
- 103 N McDonough St
Rear Unit
Decatur, GA 30030-3317 - Phone
- (404) 378-7309
- Fax
- (404) 378-7310
- NPI assigned
- Dec 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY002464 | GA | Primary |
Addresses
Primary practice location
103 N McDonough St
Rear Unit
Decatur, GA 30030-3317
Mailing address
PO Box 832152
Stone Mountain, GA 30083-0036
Phone (404) 378-7309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
125 E Trinity Place
Suite 310
Decatur, GA 30030-3360
Phone (404) 378-7309
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY002464 | GA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akoma Counseling & Consulting, Inc | Current | Accepting new patients | |
| Akoma Consulting Inc | Past | Accepting new patients | |
| Ler & Associates, LLC | Clinical | Past | Accepting new patients |
Locations
125 E Trinity Pl
Ste 310
Decatur, GA 30030
Phone (404) 378-7309
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Decatur, GA
- NPI 1144642224
-
dba Akoma Counseling and Consulting
- Community/Behavioral Health Agency
- Decatur, GA
- NPI 1225313844
-
dba Akoma Counseling and Consulting
- Clinical Psychologist
- Decatur, GA
- NPI 1538363031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982769006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 832152",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300830036",
"telephone_number": "404-378-7309",
"fax_number": "404-378-7310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N MCDONOUGH ST",
"address_2": "REAR UNIT",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303317",
"telephone_number": "404-378-7309",
"fax_number": "404-378-7310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "LE'ROY",
"middle_name": "E",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY002464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
- Alison Chapin Reed
- Denise Reed, REGISTERED NURSE
- Julia Narciss Reed, LCSW
- Andrea Rochelle Reese, CRT
- John Franklin Reese, PHARMD
- Sharita Golphin Reese, PHARMD
- Luke Sanderson Reeves, BCBA
- Marianette L. Refour, LPC, NCC
- Region 14 Department of Family and Children Services
- Mariajoy Marquez Rehman, BSN, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.