DR. RACHEL KELLI LACY (NPI# 1760690960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760690960 |
| Entity Type | Individual |
| Full Name | DR. RACHEL KELLI LACY |
| Other Name | DR. RACHEL LACY |
| Credential | PSY.D. |
| Practice Address |
1805 Herrington Rd Building 3, Ste. 3-b Lawrenceville GA 30043-7987 |
| Mailing Address |
Po Box 58 Flowery Branch GA 30542-0001 |
| Practice Telephone | 7707227827 |
| Practice Fax Number | 7707600624 |
| Mailing Telephone | 7707227827 |
| Mailing Fax Number | 7709621886 |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2018-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY002801 | GA | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
PSY002801 | GA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY002801 | GA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY002801 | GA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
PSY002801 | GA | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
PSY002801 | GA | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
PSY002801 | GA | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
PSY002801 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932615580 | Rachel Lacy | Behavioral Analyst | 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 | 2017-12-19 |
| 1205273695 | Rachel Lacy | Internal Medicine | 2110 Harrisburg Pike Ste 310, Lancaster, PA 17601 | 2013-05-27 |
| Street Address |
1805 HERRINGTON RD BUILDING 3, STE. 3-B |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-7987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780784454 | Nasira R. Ali | Psychiatry & Neurology | 1805 Herrington Rd, Bldg. 1 Suite A, Lawrenceville, GA 30043-7987 | 2006-09-23 |
| 1205372877 | Krisnir Corporation | Internal Medicine | 1805 Herrington Rd, Bldg# 2, Lawrenceville, GA 30043-7987 | 2017-01-06 |
| 1013319847 | Gwinnett Psychology, LLC | Psychologist | 1805 Herrington Rd, Bldg. 2, Lawrenceville, GA 30043-7987 | 2014-09-24 |
| 1548513963 | Cassin Cole-straub | Psychologist | 1805 Herrington Rd, Bldg. 2, Lawrenceville, GA 30043-7987 | 2012-10-23 |
| 1437437837 | Southern Dermatology PC | Dermatology | 1805 Herrington Rd, Building 3, Suite A, Lawrenceville, GA 30043-7987 | 2011-08-02 |
| 1932394855 | New Life Psychology Services, LLC | Psychologist | 1805 Herrington Rd, Building 2, Lawrenceville, GA 30043-7987 | 2007-09-13 |
| 1861513673 | Mary E Melton, Phd, PC | Psychologist | 1805 Herrington Rd, #2, Lawrenceville, GA 30043-5649 | 2007-04-02 |
| 1124159405 | Rachel E. Christian, Ph.d., P.C. | Psychologist | 1805 Herrington Rd, Bldg. 2, Lawrenceville, GA 30043-5649 | 2007-03-08 |
| 1285789222 | Joseph Henry Fallon Jr. | Psychologist | 1805 Herrington Rd, Bldg 2, Lawrenceville, GA 30043-5649 | 2007-01-23 |
| 1205995487 | Gerda R Abbey | Psychologist | 1805 Herrington Rd, Building #2, Lawrenceville, GA 30043-5649 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154535672 | Jennifer Marie Oglesby | Clinical Neuropsychologist | 2381 Lawrenceville Rd, St. Lawrence Rehabilitation Cent, Lawrenceville, NJ 08648-2025 | 2007-05-10 |
| 1528074572 | Barbara J Korzun | Clinical Neuropsychologist | 3131 Princeton Pike, Bldg 5, Lawrenceville, NJ 08648 | 2006-07-31 |
| 1942216064 | Rosemarie S Moser | Clinical Neuropsychologist | 3131 Princeton Pike, Bldg 5, Lawrenceville, NJ 08648 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614746 | Neuropsychology Associates of Georgia LLC | Clinical Neuropsychologist | 280 Interstate North Cir Se Ste 450, Atlanta, GA 30339-2451 | 2020-03-21 |
| 1023586773 | The Atlanta Psychology Group | Clinical Neuropsychologist | 3500 Piedmont Rd Ne Ste 740, Atlanta, GA 30305-1507 | 2018-11-09 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1316451719 | Zainab Delawalla | Clinical Neuropsychologist | 125 Clairemont Ave Ste 510, Decatur, GA 30030-2504 | 2017-11-21 |
| 1588199327 | Scott Edward Miller | Clinical Neuropsychologist | 352 Milledge Hall, University of Georgia, Athens, GA 30602-5875 | 2017-05-01 |
| 1053850172 | S. Marilyn Miller | Clinical Neuropsychologist | 90 Fairlie St Nw, Suite 203, Atlanta, GA 30303-2127 | 2017-02-22 |
| 1457898371 | Tamara Weiss, M.d., LLC | Clinical Neuropsychologist | 1772 Century Blvd Ne Ste A, Atlanta, GA 30345-3396 | 2017-01-30 |
| 1689048076 | Laura Blackwell | Clinical Neuropsychologist | 5455 Meridian Marks Rd Ste 180, Atlanta, GA 30342-4716 | 2015-11-23 |
| 1003205741 | Lifespan Psychology, P.C. | Clinical Neuropsychologist | 98 Voorhees Rd E, Hamilton, GA 31811-5671 | 2015-01-19 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.