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MAYO PSYCHOLOGICAL SERVICES, INC.
NPI 1134367378
Psychologist - Clinical in Marietta, GA

Active since January 26, 2009
1640 POWERS FERRY RD SE, BLDG. 17, STE. 350, MARIETTA, GA 30067(770) 956-9212(770) 956-9211 Get Directions Write a Review

NPPES record last updated: May 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mayo Psychological Services, Inc. NPPES

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

MAYO PSYCHOLOGICAL SERVICES, INC. (NPI 1134367378) is a healthcare organization registered as a clinical in Marietta, Georgia and active in the NPI registry since January 2009. The organization lists Susan Leslie Mayo, President, as its authorized official.

NPPES Registry Identity

NPI1134367378
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMAYO PSYCHOLOGICAL SERVICES, INC.
Location Address1640 POWERS FERRY RD SE, BLDG. 17, STE. 350Marietta, GA 30067-5491
Mailing Address1640 Powers Ferry Rd Se, Bldg. 17, Ste. 350Marietta, GA 30067-5491 · (770) 956-9212 · Fax (770) 956-9211
Phone(770) 956-9212
Fax(770) 956-9211
Organization SubpartNo
Authorized OfficialSusan Leslie MayoPresident · (770) 956-9212
Enumeration DateJanuary 26, 2009
Last NPPES UpdateMay 28, 2013
✔ NPI 1134367378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · 1582
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.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 1582 (GA)
1640 POWERS FERRY RD SE, Marietta, GA 30067
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIN68BBFBCGA

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.

SHELLY ALLEN
Marriage & Family Therapist
1640 POWERS FERRY RD SE
MARIETTA, GA 30067
Cobb County (424) 295-6227
TORRE MARSHA PROTHRO PHD
Counselor (Professional)
1640 POWERS FERRY RD SE
MARIETTA, GA 30067
Cobb County (770) 272-9600
PERSONAL RECOVERY NETWORK LLC
Psychologist
1640 POWERS FERRY RD SE, BUILDING 9, SUITE 100
MARIETTA, GA 30067
Cobb County (770) 953-0080
JULIE R FORTENBERRY LMFT
Marriage & Family Therapist
1640 POWERS FERRY RD SE, BUILDING 16, SUITE 100
MARIETTA, GA 30067
Cobb County (678) 427-1670
DIANA FRANCE LPC
Counselor (Professional)
1640 POWERS FERRY RD SE, BLDG 7, SUITE 300
MARIETTA, GA 30067
Cobb County (770) 988-9200
MS. BARBARA T RUSSELL LPC
Counselor (Professional)
1640 POWERS FERRY RD SE, BLDG 16, SUITE 100
MARIETTA, GA 30067
Cobb County (404) 316-9267
JAMIE ANN HALL LPC
Counselor (Mental Health)
1640 POWERS FERRY RD SE, BLD: 5 STE: 110
MARIETTA, GA 30067
Cobb County (770) 765-1912
MARIA GONZALEZ-IGLESIAS PH.D., LCSW
Social Worker (Clinical)
1640 POWERS FERRY RD SE, BUILDING 19 SUITE 200
MARIETTA, GA 30067
Cobb County (770) 395-0223

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 Mayo Psychological Services, Inc.'s NPI number?

The NPI number for Mayo Psychological Services, Inc. is 1134367378. It was assigned to this organization in the NPPES registry on January 26, 2009.

Where is Mayo Psychological Services, Inc. located?

Mayo Psychological Services, Inc. is located at 1640 Powers Ferry Rd SE Bldg. 17, Ste. 350, Marietta, GA 30067. The listed phone number is (770) 956-9212.

What is Mayo Psychological Services, Inc.'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 Mayo Psychological Services, Inc. was last updated on May 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.