Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Zachary Taber, PHD

Individual provider Exercise & Sports Psychologist · NPI 1174216089

Dr. Zachary Taber, PHD is a Clinical Psychologist in Atlanta, Georgia. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1074 Ponce De Leon Ave NE
Atlanta, GA 30306-4216
Phone: (678) 369-3235
Show map & directions

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

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence PSY004644 (GA)
Exercise & Sports Psychologist Taxonomy 103TE1100X · Licence PSY004644 (GA)

Record details

NPI number1174216089
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 29, 2023
Last updated in NPPESMay 29, 2023
Certification dateMay 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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