ACADEMY PSYCHOLOGICAL SERVICESINC NPI 1700190600

NPI Information

  • NPI: 1700190600
  • Provider Name: ACADEMY PSYCHOLOGICAL SERVICES,INC
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Organization
  • Address: 5165 LAVISTA RD
    TUCKER, GA
    ZIP 30084
  • Phone: (404) 558-9830

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NPI Details

ACADEMY PSYCHOLOGICAL SERVICES,INC is a clinical neuropsychologist in Tucker, GA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. ACADEMY PSYCHOLOGICAL SERVICES,INC NPI is 1700190600. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5165 LAVISTA RD
TUCKER, GA
ZIP 30084-602
Phone: (404) 558-9830
Fax: (770) 939-6781

The provider's authorized official is Devorah A Giffen .
The authorized official title is Psychologist and has the following contact phone number (404) 558-9830.

The enumeration date for this NPI number is 8/3/2010 and was last updated on 8/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistPSY001764GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000584526AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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