Individual provider Active NPI

Valerie L McAdams, PSY.D.

  • Clinical Psychologist
  • Jonesboro, GA
National Provider Identifier
1992951289
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2435 Issued in GA
Practice address
2268 Mount Zion Rd
Jonesboro, GA 30236-2528
Phone
(770) 603-3400
Fax
(770) 603-3404
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2435 GA Primary

Addresses

Primary practice location

2268 Mount Zion Rd
Jonesboro, GA 30236-2528

Mailing address

2268 Mount Zion Rd
Jonesboro, GA 30236-2528
Phone (770) 603-3400

Other identifiers 1

IdentifierTypeStateIssuer
000884078BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2435GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Psychological Center, Inc. Clinical CurrentSince Jul 16, 2012 Accepting new patients
Cross Keys Counseling Center, Inc. Clinical PastSince Jan 19, 1995 Accepting new patients

Locations

2268 Mount Zion Rd
Jonesboro, GA 30236
Phone (404) 804-3639

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1992951289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2268 MOUNT ZION RD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362528",
            "telephone_number": "770-603-3400",
            "fax_number": "770-603-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2268 MOUNT ZION RD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362528",
            "telephone_number": "770-603-3400",
            "fax_number": "770-603-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCADAMS",
        "first_name": "VALERIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "2435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000884078B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.