Psychogenesis, Inc.
NPI 1083779763 · Clinical Psychologist · Rome, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Psychogenesis, Inc. is a Clinical Psychologist organization in Rome, GA (NPI 1083779763).
Provider details
- NPI number
- 1083779763
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Judith Tutin, President(706) 232-5544
- License
- 2075 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-24
- Last updated
- 2015-12-03
Frequently asked questions
- What is Psychogenesis, Inc.'s NPI number?
- Psychogenesis, Inc.'s National Provider Identifier (NPI) is 1083779763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Psychogenesis, Inc.?
- Psychogenesis, Inc. is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Psychogenesis, Inc. located?
- Psychogenesis, Inc.'s practice location on file with NPPES is 519 Broad St, Rome, GA 30161-1734.
- What is Psychogenesis, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Psychogenesis, Inc. is (706) 232-5544.
- Does Psychogenesis, Inc. accept Medicare?
- Psychogenesis, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Psychogenesis, Inc.?
- The authorized official listed on Psychogenesis, Inc.'s NPPES record is Judith Tutin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Psychogenesis, Inc.'s NPI active?
- Yes — Psychogenesis, Inc.'s NPI (1083779763) is active in the NPPES registry as of the last update on 2015-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.