DR. KELLI MCCORMICK BYNUM PHD
NPI 1194662403
Psychologist in Atlanta, GA

Active since May 04, 2026
4375 WIEUCA RD NE, ATLANTA, GA 30342(404) 295-5905 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Kelli Mccormick Bynum Phd NPPES

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

DR. KELLI MCCORMICK BYNUM PHD (NPI 1194662403) is an individual psychologist in Atlanta, Georgia, licensed in Georgia (PSY001992) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1194662403
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KELLI MCCORMICK BYNUMCredential: PHD
Location Address4375 WIEUCA RD NEAtlanta, GA 30342-3880
Mailing Address4375 Wieuca Rd NeAtlanta, GA 30342-3880 · (404) 295-5905
Sole ProprietorYes
Enumeration DateMay 4, 2026
NPPES CertifiedMay 4, 2026
NPI 1194662403 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 · PSY001992
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.
4375 WIEUCA RD NE, Atlanta, GA 30342

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 Kelli Bynum's NPI number?

The NPI number for Kelli Bynum is 1194662403. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Where is Kelli Bynum located?

Kelli Bynum practices at 4375 Wieuca Rd NE, Atlanta, GA 30342. The listed phone number is (404) 295-5905.

What is Kelli Bynum's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelli Bynum was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.