JUDY & BRUCE PEMBERTON, LLC
NPI 1750642419
Psychologist - Clinical in Atlanta, GA

Active since May 30, 2012
1145 SHERIDAN RD NE, ATLANTA, GA 30324(404) 325-8512(404) 325-8733 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Judy & Bruce Pemberton, Llc NPPES

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

JUDY & BRUCE PEMBERTON, LLC (NPI 1750642419) is a healthcare organization registered as a clinical in Atlanta, Georgia and active in the NPI registry since May 2012. The organization lists Judy Pemberton, Owner, as its authorized official.

NPPES Registry Identity

NPI1750642419
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJUDY & BRUCE PEMBERTON, LLC
Location Address1145 SHERIDAN RD NEAtlanta, GA 30324-3714
Mailing Address1130 Piedmont Ave Ne, Suite 1502Atlanta, GA 30309-3780 · (404) 325-8512 · Fax (404) 325-8733
Fax(404) 325-8733
Organization SubpartNo
Authorized OfficialJudy PembertonOwner · (404) 325-8512
Enumeration DateMay 30, 2012
NPI 1750642419 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 · PSY001100
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.
1145 SHERIDAN RD NE, Atlanta, GA 30324

Other Identifiers 1

Medicare UPIN68BBCTJGA

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 18

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

Psychologist (Clinical)
1145 SHERIDAN RD NE
ATLANTA, GA 30324
Social Worker (Clinical)
1145 SHERIDAN RD NE
ATLANTA, GA 30324
Psychologist
1145 SHERIDAN RD NE
ATLANTA, GA 30324
Psychologist
1145 SHERIDAN RD NE
ATLANTA, GA 30324
Psychologist (Clinical)
1145 SHERIDAN RD NE, SUITE 110
ATLANTA, GA 30324
Psychologist
1145 SHERIDAN RD NE
ATLANTA, GA 30324
Psychologist
1145 SHERIDAN RD NE
ATLANTA, GA 30324
Psychologist
1145 SHERIDAN RD NE
ATLANTA, GA 30324

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 Judy & Bruce Pemberton, LLC's NPI number?

The NPI number for Judy & Bruce Pemberton, LLC is 1750642419. It was assigned to this organization in the NPPES registry on May 30, 2012.

Where is Judy & Bruce Pemberton, LLC located?

Judy & Bruce Pemberton, LLC is located at 1145 Sheridan Rd NE, Atlanta, GA 30324. The listed phone number is (404) 325-8512.

What is Judy & Bruce Pemberton, 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 Judy & Bruce Pemberton, LLC was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.