OrganizationActive
Psychological Affiliates
NPI 1376728394 · Psychologist · Marietta, GA
Provider details
- NPI number
- 1376728394
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jack Grisham, President(770) 427-2911
- License
- 001135 GA (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
122 Cherry St Ne
Marietta, GA 30060-7206
Phone: (770) 427-2911
Street-level locationGet directions
Mailing address
122 Cherry St Ne
Marietta, GA 30060-7206
Registry dates
- Enumerated
- 2008-01-09
- Last updated
- 2008-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.