SARA RACHEL DECKELBAUM


Address: 4939 Lower Roswell Rd, Suite B-202, Marietta, GA 30068-4338
Phone: 7709713303

SARA RACHEL DECKELBAUM (NPI# 1871861468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871861468
Entity Type Individual
Full Name SARA RACHEL DECKELBAUM
Credential PSY.D.
Practice Address 4939 Lower Roswell Rd
Suite B-202
Marietta
GA 30068-4338
Practice Telephone 7709713303
Practice Fax Number 7709713314
Mailing Telephone 7709713303
Mailing Fax Number 7709713314
Enumeration Date 2011-12-09
Last Update Date 2011-12-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY003522 GA Behavioral Health & Social Service Providers

Office Location

Street Address 4939 LOWER ROSWELL RD
SUITE B-202
City MARIETTA
State GA
Zip Code 30068-4338

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003934050 Ralph S Cohen Dentist 4939 Lower Roswell Rd, Marietta, GA 30068-4338 2007-03-27
1083130736 Hannah R Wineburg Social Worker 4939 Lower Roswell Rd, Marietta, GA 30068-4338 2017-08-15
1497271159 Hwh Psychotherapy Inc. Social Worker 4939 Lower Roswell Rd, Marietta, GA 30068-4338 2017-08-15
1467807198 Jessica Hallberlin Social Worker 4939 Lower Roswell Rd, Building C, Suite 201, Marietta, GA 30068-4338 2016-05-02
1548663644 Parkaire Consultants, Inc. Social Worker 4939 Lower Roswell Rd, Suite 201c, Marietta, GA 30068-4338 2014-10-02
1730522038 Berger Psychological Services, P.C. Psychologist 4939 Lower Roswell Rd, Suite B-202, Marietta, GA 30068-4338 2013-04-17
1962767954 Daec, Inc Specialist 4939 Lower Roswell Rd, Suite 104a, Marietta, GA 30068-4338 2012-07-06
1487943775 Stacey Cohen Weitzner Dentist 4939 Lower Roswell Rd, Marietta, GA 30068-4338 2011-04-07
1104152453 Steven Gary Berger Psychologist 4939 Lower Roswell Rd, Bldg B - 202, Marietta, GA 30068-4338 2009-10-21
1578704391 Emily Danielle Venable Occupational Therapist 4939 Lower Roswell Rd, Bldg C, Suite 201, Marietta, GA 30068-4338 2009-03-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831798917 Barbara Ann Goldschmidt Pharmacist 4088 Lower Roswell Rd, Marietta, GA 30068 2020-10-20
1285274480 Cory Plasker Chiropractor 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 2020-01-15
1952949893 Dr Amy L Varner LLC Internal Medicine 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 2019-12-11
1417501834 Cornerstone Hospice and Palliative Care of Georgia, LLC Hospice Care, Community Based 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 2019-07-25
1639721038 Cayla Clark Behavior Technician 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 2019-07-15
1467910828 2me Healthcare,llc Home Health 2586 Club Valley Drive Ne, Marietta, GA 30068 2019-03-05
1265912604 Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic Chiropractor 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 2018-08-15
1225514219 Audrey Hughes. Lcsw, LLC Clinic/Center 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 2018-07-13
1316461379 Evan King Registered Nurse 52 Pioneer Trl, Marietta, GA 30068 2017-08-01
1912431867 Anthony Izore Nurse Practitioner 5163 Tall Oak Drive, Marietta, GA 30068 2017-04-18
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790245173 Hopebridge, LLC Psychologist 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 2019-03-22
1053812537 Carmen Julia Neyra Psychologist 4939 Lower Roswell Rd Bldg C, Marietta, GA 30068-4338 2018-02-21
1467903609 Alesya Korey Psychologist 821 Devonwood Trl Nw, Marietta, GA 30064-5439 2016-10-24
1174953780 Marietta Associated Psychological Services Inc Psychologist 2501 E Piedmont Rd Ste 147, Marietta, GA 30062-7754 2013-11-18
1902248024 Kavita Joshi Subrahmanian Psychologist 1778 Millhouse Run, Marietta, GA 30066-8012 2013-07-18
1154688877 Terry A Crump Psychologist 134 Powers Ferry Rd Se Ste B, Marietta, GA 30067-7589 2012-04-19
1710126461 Susan Sevier Buffington Psychologist 4608 Lower Roswell Rd, Marietta, GA 30068-4237 2009-02-19
1962655324 Kenneth C Molkner Md PC Psychologist 2501 Windy Hill Rd Se, Suite 245, Marietta, GA 30067-8663 2008-10-29
1205044278 Lisa Rubin Psychologist 282 Village Pkwy Ne, Marietta, GA 30067-4062 2007-05-21
1588876221 Richard E. Shook, Ph.d., P.C. Psychologist 127 Cherry Street, Marietta, GA 30060 2007-05-04
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Competitor

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City MARIETTA
Zip Code 30068

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Dataset Information

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.

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