TANJA KETISCH
NPI 1568844835
Psychologist - Clinical in Atlanta, GA

Q: What is Tanja Ketisch's NPI number?

The NPI number for Tanja Ketisch is 1568844835. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Q: What is Tanja Ketisch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tanja Ketisch was last updated on January 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since June 23, 2015

1160 WING ST, ATLANTA, GA 30350(404) 423-5410 Get Directions Write a Review

NPPES record last updated: January 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tanja Ketisch NPPES

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

TANJA KETISCH (NPI 1568844835) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (PSY004088) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1568844835

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameTANJA KETISCH

Location Address1160 WING STAtlanta, GA 30350-2953

Mailing Address1160 Wing StAtlanta, GA 30350-2953 · (404) 423-5410

Phone(404) 423-5410

Sole ProprietorYes

Enumeration DateJune 23, 2015

Last NPPES UpdateJanuary 4, 2025

NPPES CertifiedJanuary 4, 2025

✔ NPI 1568844835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in GA · PSY004088✔ Licensed in AL · 1939

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.

1160 WING ST, Atlanta, GA 30350

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Tanja Ketisch's NPI number?

The NPI number for Tanja Ketisch is 1568844835. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Tanja Ketisch located?

Tanja Ketisch practices at 1160 Wing St, Atlanta, GA 30350. The listed phone number is (404) 423-5410.

What is Tanja Ketisch's specialty?

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

What insurance does Tanja Ketisch accept?

Health plans from UnitedHealthcare list Tanja Ketisch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanja Ketisch was last updated on January 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.