SOUBLIS PSYCHOLOGICAL ASSOCIATES, LLC
NPI 1336094234
Psychologist - Clinical in Roswell, GA

Active since March 04, 2026
1003 BOMBAY LN, ROSWELL, GA 30076(678) 782-2560(678) 782-2560 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Soublis Psychological Associates, Llc NPPES

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

SOUBLIS PSYCHOLOGICAL ASSOCIATES, LLC (NPI 1336094234), doing business as Theodora Soublis, Phd, is a healthcare organization registered as a clinical in Roswell, Georgia and active in the NPI registry since March 2026. The organization lists Theodora Soublis, Director, as its authorized official.

NPPES Registry Identity

NPI1336094234
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSOUBLIS PSYCHOLOGICAL ASSOCIATES, LLC
Location Address1003 BOMBAY LNRoswell, GA 30076-5820
Mailing Address1003 Bombay LnRoswell, GA 30076-5820 · (678) 782-2560 · Fax (678) 782-2560
Fax(678) 782-2560
Organization SubpartNo
Authorized OfficialTheodora SoublisDirector · (770) 362-4815
Enumeration DateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
NPI 1336094234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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 ListedCounselor · ProfessionalTaxonomy 101YP2500X
1003 BOMBAY LN, Roswell, GA 30076

Other Names 1

Former Legal Business NameTheodora Soublis, Phd

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

Other Providers at the Same Location NPPES 6

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

Psychologist (Clinical)
1003 BOMBAY LN
ROSWELL, GA 30076
Counselor (Professional)
1003 BOMBAY LN
ROSWELL, GA 30076
Psychologist
1003 BOMBAY LN
ROSWELL, GA 30076
Psychologist (Clinical Child & Adolescent)
1003 BOMBAY LN
ROSWELL, GA 30076
Counselor (Professional)
1003 BOMBAY LN
ROSWELL, GA 30076
Psychologist (Clinical Child & Adolescent)
1003 BOMBAY LN
ROSWELL, GA 30076

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 Soublis Psychological Associates, LLC's NPI number?

The NPI number for Soublis Psychological Associates, LLC is 1336094234. It was assigned to this organization in the NPPES registry on March 4, 2026. The provider was formerly known as Theodora Soublis, PHD.

Where is Soublis Psychological Associates, LLC located?

Soublis Psychological Associates, LLC is located at 1003 Bombay Ln, Roswell, GA 30076. The listed phone number is (678) 782-2560.

What is Soublis Psychological Associates, 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 Soublis Psychological Associates, LLC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.