Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Psychogenesis, Inc

Organization Clinical Psychologist · NPI 1083779763

Psychogenesis, Inc provides Clinical Psychologist services in Rome, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

519 Broad St Ste 202
Rome, GA 30161-1734 Not confirmed with CMS for 10 years — call before visiting
Phone: (706) 232-5544
Fax: (888) 543-1173
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2075 (GA)

Record details

NPI number1083779763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judith Tutin — President · (706) 232-5544
NPI enumeratedDecember 24, 2006
Last updated in NPPESDecember 3, 2015
Mailing address2 Windsor Rd Sw, Rome, GA 30165-8555

Other providers in Rome