DECATUR PSYCHOLOGY, LLC
NPI 1194013912
Psychologist - Clinical in Decatur, GA

Active since July 13, 2011
101 BIRCH ST, DECATUR, GA 30030(404) 513-6077(404) 478-6823 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Decatur Psychology, Llc NPPES

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

DECATUR PSYCHOLOGY, LLC (NPI 1194013912) is a healthcare organization registered as a clinical in Decatur, Georgia and active in the NPI registry since July 2011. The organization lists John Rackley Lucy, Owner, as its authorized official.

NPPES Registry Identity

NPI1194013912
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameDECATUR PSYCHOLOGY, LLC
Location Address101 BIRCH STDecatur, GA 30030-3340
Mailing Address101 Birch StDecatur, GA 30030-3340 · (404) 513-6077 · Fax (404) 478-6823
Fax(404) 478-6823
Organization SubpartNo
Authorized OfficialJohn Rackley LucyOwner · (404) 513-6077
Enumeration DateJuly 13, 2011
Last NPPES UpdateMay 26, 2021
NPPES CertifiedMay 26, 2021
NPI 1194013912 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 · PSY001911
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.

101 BIRCH ST, Decatur, GA 30030

Other Identifiers 1

Other1134380322GA · Individual Npi

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194013912, enumerated as an "organization" on July 13, 2011.

The provider is located at 101 BIRCH ST DECATUR, GA 30030 and the phone number is (404) 513-6077.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.