COURTNEY BROOKE CHAMBLESS PH.D.
NPI 1356604334
Psychologist in Decatur, GA

Active since June 24, 2012PECOS EnrolledAccepts Medicare Assignment
308 CLAIREMONT AVE, DECATUR, GA 30030(404) 542-7792 Get Directions Write a Review

NPPES record last updated: February 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Courtney Brooke Chambless Ph.d. NPPES

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

COURTNEY BROOKE CHAMBLESS PH.D. (NPI 1356604334) is an individual psychologist in Decatur, Georgia, licensed in Georgia (PSY003573) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1356604334
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameCOURTNEY BROOKE CHAMBLESSCredential: PH.D.
Location Address308 CLAIREMONT AVEDecatur, GA 30030-2506
Mailing Address980 Hill St SeAtlanta, GA 30315-1914 · (404) 542-7792
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 24, 2012
Last NPPES UpdateFebruary 20, 2013
NPI 1356604334 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 · PSY003573
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.
308 CLAIREMONT AVE, Decatur, GA 30030

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Courtney Brooke Chambless Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193249860
PECOS Enrollment IDI20250403003697
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

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

Counselor (Mental Health)
308 CLAIREMONT AVE
DECATUR, GA 30030
Counselor (Professional)
308 CLAIREMONT AVE
DECATUR, GA 30030
Social Worker
308 CLAIREMONT AVE
DECATUR, GA 30030
Counselor (Professional)
308 CLAIREMONT AVE
DECATUR, GA 30030
Counselor (Mental Health)
308 CLAIREMONT AVE
DECATUR, GA 30030
Counselor (Mental Health)
308 CLAIREMONT AVE
DECATUR, GA 30030
Music Therapist
308 CLAIREMONT AVE, STE S-324
DECATUR, GA 30030
Psychologist (Counseling)
308 CLAIREMONT AVE
DECATUR, GA 30030

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 Courtney Chambless's NPI number?

The NPI number for Courtney Chambless is 1356604334. It was assigned to this individual provider in the NPPES registry on June 24, 2012.

Where is Courtney Chambless located?

Courtney Chambless practices at 308 Clairemont Ave, Decatur, GA 30030. The listed phone number is (404) 542-7792.

What is Courtney Chambless's specialty?

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

Is Courtney Chambless enrolled in Medicare?

Yes. Courtney Chambless is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Courtney Chambless was last updated on February 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.