PAUL W SCHENK PSYD PC
NPI 1225248362
Psychologist - Clinical in Tucker, GA

Active since May 23, 2007
3589 HABERSHAM AT NORTHLAKE, TUCKER, GA 30084(770) 939-4473(770) 939-0033 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Paul W Schenk Psyd Pc NPPES

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

PAUL W SCHENK PSYD PC (NPI 1225248362) is a healthcare organization registered as a clinical in Tucker, Georgia and active in the NPI registry since May 2007. The organization lists Paul W. Schenk, President, as its authorized official.

NPPES Registry Identity

NPI1225248362
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePAUL W SCHENK PSYD PC
Location Address3589 HABERSHAM AT NORTHLAKETucker, GA 30084-4009
Mailing Address3589 Habersham At NorthlakeTucker, GA 30084-4009 · (770) 939-4473 · Fax (770) 939-0033
Fax(770) 939-0033
Organization SubpartNo
Authorized OfficialPaul W. SchenkPresident · (770) 939-4473
Enumeration DateMay 23, 2007
Last NPPES UpdateNovember 16, 2011
✔ NPI 1225248362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · 663
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.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 663 (GA)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 663 (GA)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 663 (GA)
3589 HABERSHAM AT NORTHLAKE, Tucker, GA 30084

Other Identifiers 2

Medicaid000187954AGA
Medicare ID-Type Unspecified034349481AGA · Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul W Schenk Psyd Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Paul W Schenk Psyd PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1831171065
3589 HABERSHAM AT NORTHLAKE
Tucker, GA 30084
(770) 939-4473
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Paul W Schenk Psyd PC's NPI number?

The NPI number for Paul W Schenk Psyd PC is 1225248362. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Paul W Schenk Psyd PC located?

Paul W Schenk Psyd PC is located at 3589 Habersham At Northlake, Tucker, GA 30084. The listed phone number is (770) 939-4473.

What is Paul W Schenk Psyd PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Paul W Schenk Psyd PC enrolled in Medicare?

Yes. Paul W Schenk Psyd PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paul W Schenk Psyd PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Paul W Schenk Psyd PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Paul W Schenk Psyd PC was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.