PSYCHOLOGICAL AFFILIATES
NPI 1376728394
Psychologist in Marietta, GA

Active since January 09, 2008
122 CHERRY ST NE, MARIETTA, GA 30060(770) 427-2911 Get Directions Write a Review

NPPES record last updated: January 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Psychological Affiliates NPPES

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

PSYCHOLOGICAL AFFILIATES (NPI 1376728394) is a healthcare organization registered as a psychologist in Marietta, Georgia and active in the NPI registry since January 2008. The organization lists Jack Holland Grisham, President, as its authorized official.

NPPES Registry Identity

NPI1376728394
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePSYCHOLOGICAL AFFILIATES
Location Address122 CHERRY ST NEMarietta, GA 30060-7206
Mailing Address122 Cherry St NeMarietta, GA 30060-7206 · (770) 427-2911
Organization SubpartNo
Authorized OfficialJack Holland GrishamPresident · (770) 427-2911
Enumeration DateJanuary 9, 2008
NPI 1376728394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · 000669 GA
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 001135 GA (GA), GA CSW003681 (GA)
122 CHERRY ST NE, Marietta, GA 30060

Other Identifiers 2

Medicare PIN80BBGBZGA
Medicare PIN80BBGNQGA

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 10

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

Psychologist (Clinical)
122 CHERRY ST NE
MARIETTA, GA 30060
Counselor (Professional)
122 CHERRY ST NE
MARIETTA, GA 30060
Social Worker (Clinical)
122 CHERRY ST NE
MARIETTA, GA 30060
Social Worker (Clinical)
122 CHERRY ST NE
MARIETTA, GA 30060
Psychologist
122 CHERRY ST NE
MARIETTA, GA 30060
Social Worker (Clinical)
122 CHERRY ST NE
MARIETTA, GA 30060
Psychologist
122 CHERRY ST NE
MARIETTA, GA 30060
Counselor (Professional)
122 CHERRY ST NE
MARIETTA, GA 30060

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 Psychological Affiliates's NPI number?

The NPI number for Psychological Affiliates is 1376728394. It was assigned to this organization in the NPPES registry on January 9, 2008.

Where is Psychological Affiliates located?

Psychological Affiliates is located at 122 Cherry St NE, Marietta, GA 30060. The listed phone number is (770) 427-2911.

What is Psychological Affiliates's specialty?

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

When was this NPI record last updated?

The NPPES record for Psychological Affiliates was last updated on January 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.