CORCAIR PYSCHOLOGICAL SERVICES, LLC
NPI 1124310727
Psychologist - Clinical in Decatur, GA

Active since May 14, 2011
235 E PONCE DE LEON AVE, SUITE 110, DECATUR, GA 30030(404) 542-5287(888) 485-5215 Get Directions Write a Review

NPPES record last updated: May 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Corcair Pyschological Services, Llc NPPES

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

CORCAIR PYSCHOLOGICAL SERVICES, LLC (NPI 1124310727) is a healthcare organization registered as a clinical in Decatur, Georgia and active in the NPI registry since May 2011. The organization lists Jill C Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1124310727
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCORCAIR PYSCHOLOGICAL SERVICES, LLC
Location Address235 E PONCE DE LEON AVE, SUITE 110Decatur, GA 30030-3452
Mailing Address235 E Ponce De Leon Ave, Suite 110Decatur, GA 30030-3452 · (404) 542-5287 · Fax (888) 485-5215
Fax(888) 485-5215
Organization SubpartNo
Authorized OfficialJill C AndersonOwner · (404) 542-5287
Enumeration DateMay 14, 2011
NPI 1124310727 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 · PSY003030
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.

235 E PONCE DE LEON AVE, Decatur, GA 30030

Other Identifiers 1

Medicaid003101292AGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
235 E PONCE DE LEON AVE
DECATUR, GA 30030
Counselor (Professional)
235 E PONCE DE LEON AVE
DECATUR, GA 30030
Chiropractor
235 E PONCE DE LEON AVE, SUITE 308
DECATUR, GA 30030
Nurse Practitioner (Family)
235 E PONCE DE LEON AVE
DECATUR, GA 30030
Physical Therapist
235 E PONCE DE LEON AVE, SUITE 160
DECATUR, GA 30030
Social Worker (Clinical)
235 E PONCE DE LEON AVE, 108
DECATUR, GA 30030
Social Worker
235 E PONCE DE LEON AVE
DECATUR, GA 30030
Counselor (Professional)
235 E PONCE DE LEON AVE
DECATUR, GA 30030

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 Corcair Pyschological Services, LLC's NPI number?

The NPI number for Corcair Pyschological Services, LLC is 1124310727. It was assigned to this organization in the NPPES registry on May 14, 2011.

Where is Corcair Pyschological Services, LLC located?

Corcair Pyschological Services, LLC is located at 235 E Ponce De Leon Ave Suite 110, Decatur, GA 30030. The listed phone number is (404) 542-5287.

What is Corcair Pyschological Services, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Corcair Pyschological Services, LLC was last updated on May 14, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.