SUMMIT PEDIATRIC PSYCHOLOGY, LLC
NPI 1487375275
Psychologist - Clinical in Stockbridge, GA

Active since September 08, 2022
240 CORPORATE CENTER DR STE C, STOCKBRIDGE, GA 30281(470) 807-9147 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2023, Dec 14, 2022, Sep 8, 2022 (3 updates tracked since 2022).

About Summit Pediatric Psychology, Llc NPPES

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

SUMMIT PEDIATRIC PSYCHOLOGY, LLC (NPI 1487375275) is a healthcare organization registered as a clinical in Stockbridge, Georgia and active in the NPI registry since September 2022. The organization lists Alleena Bennett, Owner/psychologist, as its authorized official.

NPPES Registry Identity

NPI1487375275
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSUMMIT PEDIATRIC PSYCHOLOGY, LLC
Location Address240 CORPORATE CENTER DR STE CStockbridge, GA 30281-7214
Mailing Address140 Lotus CirMcdonough, GA 30252-4094 · (470) 807-9147
Organization SubpartNo
Authorized OfficialAlleena BennettOwner/psychologist · (470) 807-9147
Enumeration DateSeptember 8, 2022
Last NPPES UpdateJune 7, 20233 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
NPI 1487375275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
240 CORPORATE CENTER DR STE C, Stockbridge, GA 30281

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
240 CORPORATE CENTER DR STE C
STOCKBRIDGE, GA 30281
Counselor (Mental Health)
240 CORPORATE CENTER DR STE C
STOCKBRIDGE, GA 30281
Clinic/Center (Adolescent and Children Mental Health)
240 CORPORATE CENTER DR STE C
STOCKBRIDGE, GA 30281
Psychologist
240 CORPORATE CENTER DR STE C
STOCKBRIDGE, GA 30281

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 Summit Pediatric Psychology, LLC's NPI number?

The NPI number for Summit Pediatric Psychology, LLC is 1487375275. It was assigned to this organization in the NPPES registry on September 8, 2022.

Where is Summit Pediatric Psychology, LLC located?

Summit Pediatric Psychology, LLC is located at 240 Corporate Center Dr Ste C, Stockbridge, GA 30281. The listed phone number is (470) 807-9147.

What is Summit Pediatric Psychology, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Summit Pediatric Psychology, LLC was last updated on June 7, 2023. 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.