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DR. DEVIKA BASU PHD
NPI 1396417457
Psychologist - Clinical in Dunwoody, GA

Active since September 28, 2021Opted out of Medicare · through Apr 30, 2028
1360 CENTER DR STE 200, DUNWOODY, GA 30338(678) 825-2320 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2022, Sep 28, 2021 (2 updates tracked since 2021).

About Dr. Devika Basu Phd NPPES

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

DR. DEVIKA BASU PHD (NPI 1396417457) is an individual clinical provider in Dunwoody, Georgia, licensed in Georgia (PSY004668) and active in the NPI registry since September 2021. She has opted out of Medicare through April 30, 2028.

NPPES Registry Identity

NPI1396417457
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DEVIKA BASUCredential: PHD
Location Address1360 CENTER DR STE 200Dunwoody, GA 30338-4135
Mailing Address1360 Center Dr Ste 200Dunwoody, GA 30338-4135
Phone(678) 825-2320
Sole ProprietorNo
Enumeration DateSeptember 28, 2021
Last NPPES UpdateDecember 5, 20222 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
✔ NPI 1396417457 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 · PSY004668
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.
1360 CENTER DR STE 200, Dunwoody, GA 30338
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Devika Basu Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 30, 2024 through April 30, 2028.

Opt-Out Effective DateApril 30, 2024
Opt-Out In Effect ThroughApril 30, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

CAMILLA KASPER MSW
Counselor (Mental Health)
1360 CENTER DR STE 200
DUNWOODY, GA 30338
Dekalb County (678) 825-2320
ANXIETY SPECIALISTS OF ATLANTA LLC
Community/Behavioral Health
1360 CENTER DR STE 200
DUNWOODY, GA 30338
Dekalb County (678) 825-2320
TAYLOR LEMAIRE
Counselor (Mental Health)
1360 CENTER DR STE 200
DUNWOODY, GA 30338
Dekalb County (678) 825-2320
JESSICA JENSEN
Counselor (Mental Health)
1360 CENTER DR STE 200
DUNWOODY, GA 30338
Dekalb County (678) 825-2320
DR. HALEY DILLON BYERS PHD
Psychologist
1360 CENTER DR STE 200
DUNWOODY, GA 30338
Dekalb County (678) 825-2320
ADAM MILLER JAFFE MSW
Social Worker (Clinical)
1360 CENTER DR STE 200
DUNWOODY, GA 30338
Dekalb County (678) 825-2320
ELIZABETH NERI LCSW
Community/Behavioral Health
1360 CENTER DR STE 200
DUNWOODY, GA 30338
Dekalb County (678) 825-2320
DR. KATHERINE CULLUM PHD
Psychologist (Clinical)
1360 CENTER DR STE 200
DUNWOODY, GA 30338
Dekalb County (678) 825-2320

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 Devika Basu's NPI number?

The NPI number for Devika Basu is 1396417457. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Where is Devika Basu located?

Devika Basu practices at 1360 Center Dr Ste 200, Dunwoody, GA 30338. The listed phone number is (678) 825-2320.

What is Devika Basu's specialty?

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

Is Devika Basu enrolled in Medicare?

No. Devika Basu has opted out of Medicare through April 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Devika Basu was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.