WEST GEORGIA PSYCHOLOGICAL SERVICES
NPI 1962543579
Psychologist - Clinical in Douglasville, GA

Active since February 08, 2007
6264 HOSPITAL WAY, DOUGLASVILLE, GA 30134(678) 232-9078(866) 489-2642 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About West Georgia Psychological Services NPPES

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

WEST GEORGIA PSYCHOLOGICAL SERVICES (NPI 1962543579) is a healthcare organization registered as a clinical in Douglasville, Georgia and active in the NPI registry since February 2007. The organization lists Tina Marie Caudill, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1962543579
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameWEST GEORGIA PSYCHOLOGICAL SERVICES
Location Address6264 HOSPITAL WAYDouglasville, GA 30134-1944
Mailing AddressPo Box 1916Douglasville, GA 30133-1916 · (678) 232-9078 · Fax (866) 489-2642
Fax(866) 489-2642
Organization SubpartNo
Authorized OfficialTina Marie CaudillPsychologist · (678) 232-9078
Enumeration DateFebruary 8, 2007
Last NPPES UpdateApril 24, 2012
NPI 1962543579 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 · 002899
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.
6264 HOSPITAL WAY, Douglasville, GA 30134

Other Identifiers 5

Medicaid112025855EGA
Other10071390GA · Amerigroup
Medicaid112025855CGA
Medicaid112025855DGA
Medicaid112025855FGA

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

Accepted Insurance

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.

Psychologist
6264 HOSPITAL WAY
DOUGLASVILLE, GA 30134
Psychologist (Clinical)
6264 HOSPITAL WAY
DOUGLASVILLE, GA 30134
Psychologist (Clinical)
6264 HOSPITAL WAY
DOUGLASVILLE, GA 30134
Psychologist (Clinical)
6264 HOSPITAL WAY
DOUGLASVILLE, GA 30134

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 West Georgia Psychological Services's NPI number?

The NPI number for West Georgia Psychological Services is 1962543579. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is West Georgia Psychological Services located?

West Georgia Psychological Services is located at 6264 Hospital Way, Douglasville, GA 30134. The listed phone number is (678) 232-9078.

What is West Georgia Psychological Services's specialty?

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

What insurance does West Georgia Psychological Services accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list West Georgia Psychological Services 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 West Georgia Psychological Services was last updated on April 24, 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.