PSYCHOLOGICAL DIAGNOSTIC CENTER, LLC
NPI 1184070575
Psychologist - Clinical in Atlanta, GA

Active since May 04, 2016
1827 POWERS FERRY RD SE, BUILDING 22, SUITE 200, ATLANTA, GA 30339(770) 953-4744(770) 953-4640 Get Directions Write a Review

NPPES record last updated: May 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Psychological Diagnostic Center, Llc NPPES

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

PSYCHOLOGICAL DIAGNOSTIC CENTER, LLC (NPI 1184070575) is a healthcare organization registered as a clinical in Atlanta, Georgia and active in the NPI registry since May 2016. The organization lists Willa L Boston, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1184070575
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePSYCHOLOGICAL DIAGNOSTIC CENTER, LLC
Location Address1827 POWERS FERRY RD SE, BUILDING 22, SUITE 200Atlanta, GA 30339-5621
Mailing Address1827 Powers Ferry Rd Se, Building 22, Suite 200Atlanta, GA 30339-5621 · (770) 953-4744 · Fax (770) 953-4640
Fax(770) 953-4640
Organization SubpartNo
Authorized OfficialWilla L BostonLicensed Psychologist · (770) 953-4744
Enumeration DateMay 4, 2016
NPI 1184070575 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 · PSY003953
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.
1827 POWERS FERRY RD SE, Atlanta, GA 30339

Other Identifiers 2

Medicare UPIN202I629735GA
Medicaid003169841AGA

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

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)
1827 POWERS FERRY RD SE, BUILDING 22
ATLANTA, GA 30339
Psychologist (Clinical Child & Adolescent)
1827 POWERS FERRY RD SE, BUILDING 22, SUITE 200
ATLANTA, GA 30339
Clinic/Center
1827 POWERS FERRY RD SE, BUILDING 22
ATLANTA, GA 30339
Community/Behavioral Health
1827 POWERS FERRY RD SE, BLDG. 21, STE 350
ATLANTA, GA 30339
Marriage & Family Therapist
1827 POWERS FERRY RD SE, BUILDING 7 SUITE 350
ATLANTA, GA 30339
Psychologist (Clinical)
1827 POWERS FERRY RD SE, BLDG 22 STE 200
ATLANTA, GA 30339
Psychologist
1827 POWERS FERRY RD SE, BUILDING 22, STE 200
ATLANTA, GA 30339
Psychologist
1827 POWERS FERRY RD SE, BLDG 22
ATLANTA, GA 30339

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 Psychological Diagnostic Center, LLC's NPI number?

The NPI number for Psychological Diagnostic Center, LLC is 1184070575. It was assigned to this organization in the NPPES registry on May 4, 2016.

Where is Psychological Diagnostic Center, LLC located?

Psychological Diagnostic Center, LLC is located at 1827 Powers Ferry Rd SE Building 22, Suite 200, Atlanta, GA 30339. The listed phone number is (770) 953-4744.

What is Psychological Diagnostic Center, 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 Psychological Diagnostic Center, LLC was last updated on May 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.