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

Gary Santavicca, PHD

Individual provider Clinical Psychologist · NPI 1124080395

Gary Santavicca, PHD is a Clinical Psychologist in Atlanta, Georgia. Graduated from University of Florida College of Medicine in 1984, 42 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
42
Trained at
University of Florida College of Medicine
Licensed in
GA
In the registry since
2006
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

340 Blvd NE Ste 640
Atlanta, GA 30312
Phone: (404) 653-1117
Fax: (404) 880-0133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1224 (GA)

Record details

NPI number1124080395
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 4, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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