KALLIO HUNNICUTT-FERGUSON PHD NPI 1700276623

NPI Information

NPI: 1700276623
Provider Name: KALLIO HUNNICUTT-FERGUSON, PHD
Classification: Psychiatry & Neurology - 2084P0800X
Specialization: Psychiatry
Entity Type: Individual
PECOS Registration: Yes
Address: 12 EXECUTIVE PARK DR NE
ATLANTA, GA
ZIP 30329
Phone: (404) 778-7777

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NPI Details

Kallio Hunnicutt-ferguson, PHD is a psychiatry psychiatry neurology in Atlanta, GA with 12 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. Kallio Hunnicutt-ferguson, PHD NPI is 1700276623. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12 EXECUTIVE PARK DR NE
ATLANTA, GA
ZIP 30329-206
Phone: (404) 778-7777

The NPI 1700276623 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/30/2015 and was last updated on 7/21/2022.

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
1	2084P0800X	Psychiatry & Neurology	Psychiatry	PSY004124	GEORGIA	Yes

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
1	021253	OTHER	NEW YORK	NEW YORK STATE EDUCATION DEPARTMENT, LICENSE IN CLINICAL PSYCHOLOGY
2	PSY004124	OTHER	GEORGIA	STATE OF GEORGIA, STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS
3	94893	OTHER	NEW YORK	NEW YORK STATE EDUCATION DEPARTMENT LIMITED PERMIT FOR CLINICAL PSYCHOLOGY

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: 11/21/2025

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