DR. PUNAM RAHMAN (PSY.D.) – Clinical Psychologist, NPI 1013445592

DR. PUNAM RAHMAN (PSY.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 071009529 (IL). The NPI Number for DR. PUNAM RAHMAN (PSY.D.) is 1013445592

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. PUNAM RAHMAN (PSY.D.)
NPI
1013445592
Phone
(315) 404-1109
Address
2020 PEACHTREE RD NW
Enumeration Date
30 May 2017
Last Update Date
23 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043522020
Graduation Year
2015 (11 years ago)
PAC ID
8426305608
Group Practice PAC ID
1052301777
Professional Enrollment ID
I20180718003773
Address ID
GA303091426AT2020XNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. PUNAM RAHMAN (PSY.D.)

  • Peachtree Road, Brookwood, Atlanta, Fulton County, Georgia, 30363, United States

    ATLANTA, GA 303091426

    Phone: (315) 404-1109

    Type: Mailing

  • Sherman Avenue, Downtown, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    EVANSTON, IL 602015044

    Phone: (855) 264-9355

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180718003773IClinical PsychologistGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30309)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052301777View full group profile
NameSpecialtyState
N E U R O L O G YGA
Physical Medicine And RehabilitationGA
Physical Medicine And RehabilitationTN
Clinical PsychologistGA
N E U R O L O G YGA
Physical Medicine And RehabilitationGA
Physical Medicine And RehabilitationTX
Pulmonary Disease, Critical Care (Intensivists)MD
N E U R O L O G YGA
Physical Medicine And RehabilitationGA

Reviews

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Frequently asked questions

Does DR. PUNAM RAHMAN (PSY.D.) have a public NPI I can cite?
Public records show DR. PUNAM RAHMAN (PSY.D.) under NPI 1013445592.
Does the public listing show DR. PUNAM RAHMAN (PSY.D.) as active?
DR. PUNAM RAHMAN (PSY.D.)'s NPI record reflects an active status in NPPES.
What services align with DR. PUNAM RAHMAN (PSY.D.)'s listing?
DR. PUNAM RAHMAN (PSY.D.)'s public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. PUNAM RAHMAN (PSY.D.) in Atlanta, Georgia?
For routing, start with Atlanta, Georgia for DR. PUNAM RAHMAN (PSY.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.