DR. TINA MARIE CAUDILL PSY.D.
NPI 1336120930
Psychologist - Clinical in Douglasville, GA

Active since November 10, 2005
6264 HOSPITAL WAY, DOUGLASVILLE, GA 30134(678) 232-9078(866) 489-2642 Get Directions Write a Review

NPPES record last updated: August 24, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Tina Marie Caudill Psy.d. NPPES

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

DR. TINA MARIE CAUDILL PSY.D. (NPI 1336120930) is an individual clinical provider in Douglasville, Georgia, licensed in Georgia (PSY002899) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1336120930
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TINA MARIE CAUDILLCredential: PSY.D.
Location Address6264 HOSPITAL WAYDouglasville, GA 30134-1944
Mailing AddressPo Box 1916Douglasville, GA 30133-1916 · (678) 232-9078 · Fax (866) 489-2642
Fax(866) 489-2642
Sole ProprietorYes
Enumeration DateNovember 10, 2005
Last NPPES UpdateAugust 24, 2009
NPI 1336120930 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 · PSY002899
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.
6264 HOSPITAL WAY, Douglasville, GA 30134

Other Identifiers 3

Medicaid112025855DGA
Medicaid112025855FGA
Medicaid112025855EGA

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Psychologist
6264 HOSPITAL WAY
DOUGLASVILLE, GA 30134
Psychologist (Clinical)
6264 HOSPITAL WAY
DOUGLASVILLE, GA 30134
Psychologist (Clinical)
6264 HOSPITAL WAY
DOUGLASVILLE, GA 30134
Psychologist (Clinical)
6264 HOSPITAL WAY
DOUGLASVILLE, GA 30134

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 Tina Caudill's NPI number?

The NPI number for Tina Caudill is 1336120930. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Tina Caudill located?

Tina Caudill practices at 6264 Hospital Way, Douglasville, GA 30134. The listed phone number is (678) 232-9078.

What is Tina Caudill's specialty?

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

What insurance does Tina Caudill accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Tina Caudill as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tina Caudill was last updated on August 24, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.