Organization Active NPI

North Georgia Psychotherapy Services LLC

  • Psychologist
  • Woodstock, GA
National Provider Identifier
1992862213
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
NORTH GEORGIA PSYCHOTHERAPY SERVICES LLC
Practice address
7450 Highway 92
Suite 110
Woodstock, GA 30189-5235
Phone
(770) 926-0005
Fax
(770) 926-0762
NPI assigned
Jan 3, 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. Virginia Sutton Wood, PSY.D.
Title
Partner President
Phone
(770) 926-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

7450 Highway 92
Suite 110
Woodstock, GA 30189-5235

Mailing address

7450 Highway 92
Suite 110
Woodstock, GA 30189-5235
Phone (770) 926-0005

Other names 1

  • NGPS Doing business as

National Provider Directory

National Provider Directory

Locations

7450 Highway 92
Ste 110
Woodstock, GA 30189
Phone (770) 926-0005

Practitioners & affiliated clinicians

Practitioners 2

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992862213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 HIGHWAY 92",
            "address_2": "SUITE 110",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895235",
            "telephone_number": "770-926-0005",
            "fax_number": "770-926-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 HIGHWAY 92",
            "address_2": "SUITE 110",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895235",
            "telephone_number": "770-926-0005",
            "fax_number": "770-926-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA PSYCHOTHERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "SUTTON",
        "authorized_official_title_or_position": "PARTNER PRESIDENT",
        "authorized_official_telephone_number": "770-926-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NGPS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstock, 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.