Psychological Affiliates
NPI 1376728394ActiveOrganization· Psychologist· Marietta, GA
Psychologist in Marietta, Georgia, registered in NPPES in January 2008. The authorized official on file is Jack Holland Grisham, PH.D., President.
Overview
| NPI | 1376728394 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 9, 2008 |
| Last updated in NPPES | Jan 9, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 000669 GA | GA |
| Social Worker, Clinical | 1041C0700X | 001135 GA | GA |
| Social Worker, Clinical | 1041C0700X | GA CSW003681 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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