DR. STEPHANIE L. EZUST PH.D.
NPI 1164589156
Psychologist in Decatur, GA

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
317 W HILL ST, SUITE 101, DECATUR, GA 30030(404) 371-9171(404) 371-9172 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephanie L. Ezust Ph.d. NPPES

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

DR. STEPHANIE L. EZUST PH.D. (NPI 1164589156) is an individual psychologist in Decatur, Georgia, licensed in Georgia (1513) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1164589156
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. STEPHANIE L. EZUSTCredential: PH.D.
Location Address317 W HILL ST, SUITE 101Decatur, GA 30030-4319
Mailing AddressPo Box 1192Decatur, GA 30031-1192 · (404) 371-9171 · Fax (404) 371-9172
Fax(404) 371-9172
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJanuary 2, 2007
Last NPPES UpdateSeptember 27, 2016
NPI 1164589156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · 1513
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
317 W HILL ST, Decatur, GA 30030

Other Identifiers 1

Medicare ID-Type Unspecified68BBGJQGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephanie L. Ezust Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173595345
PECOS Enrollment IDI20040809000620
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
222 services13 patients

Other Providers at the Same Location NPPES 13

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

Counselor (Mental Health)
317 W HILL ST
DECATUR, GA 30030
Counselor (Mental Health)
317 W HILL ST
DECATUR, GA 30030
Counselor (Professional)
317 W HILL ST
DECATUR, GA 30030
Social Worker (Clinical)
317 W HILL ST, SUITE 101
DECATUR, GA 30030
Counselor (Professional)
317 W HILL ST, SUITE 105
DECATUR, GA 30030
Psychologist (Clinical)
317 W HILL ST, SUITE 203A
DECATUR, GA 30030
Counselor (Professional)
317 W HILL ST, 205
DECATUR, GA 30030
Counselor (Professional)
317 W HILL ST, SUITE 204E
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 Stephanie Ezust's NPI number?

The NPI number for Stephanie Ezust is 1164589156. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Stephanie Ezust located?

Stephanie Ezust practices at 317 W Hill St Suite 101, Decatur, GA 30030. The listed phone number is (404) 371-9171.

What is Stephanie Ezust's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Stephanie Ezust enrolled in Medicare?

Yes. Stephanie Ezust is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephanie Ezust was last updated on September 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.