LARONTA UPSON RUSH PH.D.
NPI 1356419790
Psychologist - Clinical Child & Adolescent in Tucker, GA

Q: What is Laronta Rush's NPI number?

The NPI number for Laronta Rush is 1356419790. It was assigned to this individual provider in the NPPES registry on December 2, 2006. The provider is also known as Laronta M Upson Phd.

Q: What is Laronta Rush's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Laronta Rush was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since December 02, 2006

3760 LAVISTA RD STE 102, TUCKER, GA 30084(770) 375-8124(770) 559-5543 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2024, Nov 30, 2021 (2 updates tracked since 2021).

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About Laronta Upson Rush Ph.d. NPPES

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

LARONTA UPSON RUSH PH.D. (NPI 1356419790) is an individual clinical child & adolescent provider in Tucker, Georgia, licensed in Georgia (003025) and active in the NPI registry since December 2006. She maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1356419790

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameLARONTA UPSON RUSHCredential: PH.D.

Location Address3760 LAVISTA RD STE 102Tucker, GA 30084-5622

Mailing Address3760 Lavista Rd Ste 102Tucker, GA 30084-5622 · (770) 375-8124 · Fax (770) 559-5543

Phone(770) 375-8124

Fax(770) 559-5543

Sole ProprietorYes

Enumeration DateDecember 2, 2006

Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1356419790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in GA · 003025

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologistTaxonomy 103T00000X · License 003025 (GA)

Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 003025 (GA)

3760 LAVISTA RD STE 102, Tucker, GA 30084

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Other Names 1

Former Name (1)Laronta M Upson Phd

Secondary Practice Location 1

Location 11370 Center Dr Ste 205Atlanta, GA 30338-4132 · Phone (770) 375-8124 · Fax (770) 559-5543

Other Identifiers 1

Medicaid636448495EGA

Other Providers at the Same Location NPPES 10

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

CAMERON GRACE HOM

Psychologist