ANNE DOMINIQUE BARTOLUCCI PHD
NPI 1437211430
Psychologist in Decatur, GA

Active since December 15, 2006Opted out of Medicare · through Jan 1, 2027
315 W PONCE DE LEON AVE, SUITE 1051, DECATUR, GA 30030(404) 378-0441 Get Directions Write a Review

NPPES record last updated: March 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anne Dominique Bartolucci Phd NPPES

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

ANNE DOMINIQUE BARTOLUCCI PHD (NPI 1437211430) is an individual psychologist in Decatur, Georgia, licensed in Georgia (PSY003003) and active in the NPI registry since December 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1437211430
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameANNE DOMINIQUE BARTOLUCCICredential: PHD
Location Address315 W PONCE DE LEON AVE, SUITE 1051Decatur, GA 30030-2400
Mailing Address315 W Ponce De Leon Ave, Suite 1051Decatur, GA 30030-2400 · (404) 378-0441
Sole ProprietorNo
Enumeration DateDecember 15, 2006
Last NPPES UpdateMarch 9, 2011
NPI 1437211430 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 · PSY003003
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.
315 W PONCE DE LEON AVE, Decatur, GA 30030

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Anne Dominique Bartolucci 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 January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Counselor (Professional)
315 W PONCE DE LEON AVE
DECATUR, GA 30030
Community Health Worker
315 W PONCE DE LEON AVE
DECATUR, GA 30030
Marriage & Family Therapist
315 W PONCE DE LEON AVE, SUITE 621
DECATUR, GA 30030
Psychologist (Counseling)
315 W PONCE DE LEON AVE, DECATUR COURT, SUITE 552
DECATUR, GA 30030
Psychologist (Counseling)
315 W PONCE DE LEON AVE, SUITE 552
DECATUR, GA 30030
Psychologist (Clinical)
315 W PONCE DE LEON AVE, STE 525
DECATUR, GA 30030
Psychologist (Clinical)
315 W PONCE DE LEON AVE, SUITE 350
DECATUR, GA 30030
Social Worker (Clinical)
315 W PONCE DE LEON 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 Anne Bartolucci's NPI number?

The NPI number for Anne Bartolucci is 1437211430. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Anne Bartolucci located?

Anne Bartolucci practices at 315 W Ponce De Leon Ave Suite 1051, Decatur, GA 30030. The listed phone number is (404) 378-0441.

What is Anne Bartolucci's specialty?

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

Is Anne Bartolucci enrolled in Medicare?

No. Anne Bartolucci has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Anne Bartolucci was last updated on March 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.