Samudra Psychological Services LLC
NPI 1194202911 · Mental Health Clinic/Center (Including Community Mental Health Center) · Atlanta, GA
Samudra Psychological Services LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Atlanta, GA (NPI 1194202911).
Provider details
- NPI number
- 1194202911
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Elizabeth Bradshaw-Livingston, Licensed Psychologist(404) 249-0520
- License
- 003691 (GA)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 003691 (GA)
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
- 2018-07-24
- Last updated
- 2018-07-24
Frequently asked questions
- What is Samudra Psychological Services LLC's NPI number?
- Samudra Psychological Services LLC's National Provider Identifier (NPI) is 1194202911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Samudra Psychological Services LLC?
- Samudra Psychological Services LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Samudra Psychological Services LLC located?
- Samudra Psychological Services LLC's practice location on file with NPPES is 675 Seminole Ave Ne Ste T03, Atlanta, GA 30307-3409.
- What is Samudra Psychological Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Samudra Psychological Services LLC is (404) 249-0520.
- Who is the authorized official for Samudra Psychological Services LLC?
- The authorized official listed on Samudra Psychological Services LLC's NPPES record is Elizabeth Bradshaw-Livingston, Licensed Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Samudra Psychological Services LLC's NPI active?
- Yes — Samudra Psychological Services LLC's NPI (1194202911) is active in the NPPES registry as of the last update on 2018-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.