DR. ZACHARY TABER PH.D.
NPI 1174216089
Psychologist - Counseling in Atlanta, GA

Active since May 29, 2023PECOS Enrolled
1074 PONCE DE LEON AVE NE, ATLANTA, GA 30306(678) 369-3235 Get Directions Write a Review

NPPES record last updated: May 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Zachary Taber Ph.d. NPPES

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

DR. ZACHARY TABER PH.D. (NPI 1174216089) is an individual counseling provider in Atlanta, Georgia, licensed in Georgia (PSY004644) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1174216089
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameDR. ZACHARY TABERCredential: PH.D.
Location Address1074 PONCE DE LEON AVE NEAtlanta, GA 30306-4216
Mailing Address554 Elbridge Dr NwAtlanta, GA 30318-8148 · (631) 805-6693
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 29, 2023
NPPES CertifiedMay 29, 2023
NPI 1174216089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in GA · PSY004644
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Also ListedPsychologist · Exercise & SportsTaxonomy 103TE1100X · License PSY004644 (GA)
1074 PONCE DE LEON AVE NE, Atlanta, GA 30306

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Zachary Taber Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002337276
PECOS Enrollment IDI20250304001998
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.

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Psychiatry)
1074 PONCE DE LEON AVE NE
ATLANTA, GA 30306
Psychiatry & Neurology (Psychiatry)
1074 PONCE DE LEON AVE NE
ATLANTA, GA 30306
Psychologist (Clinical)
1074 PONCE DE LEON AVE NE
ATLANTA, GA 30306

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 Zachary Taber's NPI number?

The NPI number for Zachary Taber is 1174216089. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Where is Zachary Taber located?

Zachary Taber practices at 1074 Ponce De Leon Ave NE, Atlanta, GA 30306. The listed phone number is (678) 369-3235.

What is Zachary Taber's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Zachary Taber enrolled in Medicare?

Yes. Zachary Taber is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zachary Taber was last updated on May 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.