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PSYCHOGENESIS, INC.
NPI 1083779763
Psychologist - Clinical in Rome, GA

Active since December 24, 2006
519 BROAD ST, SUITE 202, ROME, GA 30161(706) 232-5544(888) 543-1173 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Psychogenesis, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PSYCHOGENESIS, INC. (NPI 1083779763) is a healthcare organization registered as a clinical in Rome, Georgia and active in the NPI registry since December 2006. The organization lists Judith Tutin, President, as its authorized official.

NPPES Registry Identity

NPI1083779763
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePSYCHOGENESIS, INC.
Location Address519 BROAD ST, SUITE 202Rome, GA 30161-1734
Mailing Address2 Windsor Rd SwRome, GA 30165-8555 · (706) 232-5544 · Fax (888) 543-1173
Phone(706) 232-5544
Fax(888) 543-1173
Organization SubpartNo
Authorized OfficialJudith TutinPresident · (706) 232-5544
Enumeration DateDecember 24, 2006
Last NPPES UpdateDecember 3, 2015
✔ NPI 1083779763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · 2075
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
519 BROAD ST, Rome, GA 30161
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Other Identifiers 2

Medicaid000728923AGA
Medicare UPINGRP4896GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUDITH TUTIN PH.D.
Psychologist (Clinical)
519 BROAD ST, SUITE 202
ROME, GA 30161
Floyd County (706) 232-5544
DOUGLAS LYNN HOLSTEIN CRNA
Nurse Anesthetist, Certified Registered
519 BROAD ST, SUITE 106
ROME, GA 30161
Floyd County (706) 767-8347

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Psychogenesis, Inc.'s NPI number?

The NPI number for Psychogenesis, Inc. is 1083779763. It was assigned to this organization in the NPPES registry on December 24, 2006.

Where is Psychogenesis, Inc. located?

Psychogenesis, Inc. is located at 519 Broad St Suite 202, Rome, GA 30161. The listed phone number is (706) 232-5544.

What is Psychogenesis, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Psychogenesis, Inc. accept?

Health plans from Alliant Health Plans, Inc. list Psychogenesis, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Psychogenesis, Inc. was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.