SAMUEL ALAN BEHRMAN (PHD) – Clinical Psychologist, NPI 1548219546

SAMUEL ALAN BEHRMAN (PHD) is a healthcare provider. based in Mariettta, Georgia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PSY003028 (GA). The NPI Number for SAMUEL ALAN BEHRMAN (PHD) is 1548219546

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL ALAN BEHRMAN (PHD)
NPI
1548219546
Phone
(770) 953-0080
Address
1640 POWERS FERRY ROAD SE, BUILDING 9
Enumeration Date
8 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7703617864
Graduation Year
2004 (22 years ago)
PAC ID
3274583448
Group Practice PAC ID
8022264696
Professional Enrollment ID
I20120814000546
Address ID
GA300628324MA2876XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

483 CLINICAL PSYCHOLOGIST in GA

Provider Addresses for SAMUEL ALAN BEHRMAN (PHD)

  • 1640 POWERS FERRY ROAD SE, BUILDING 9

    SUITE 100

    MARIETTTA, GA 300675491

    Phone: (770) 953-0080

    Fax: (770) 953-0031

    Type: Location

  • Bristlewood Lane, Marietta, Cobb County, Georgia, 30064, United States

    MARIETTA, GA 300645111

    Phone: (205) 478-1081

    Type: Mailing

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: 2012-08-14

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
I20120814000546IClinical 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 30067)

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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: 8022264696View full group profile
NameSpecialtyState
Nurse PractitionerGA
Clinical Social WorkerGA
Mental Health CounselorGA
Marriage And Family TherapistGA
Clinical PsychologistMO
Clinical PsychologistGA
Marriage And Family TherapistGA
Mental Health CounselorOR
Mental Health CounselorGA
Clinical PsychologistGA

Reviews

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Frequently asked questions

How is SAMUEL ALAN BEHRMAN (PHD) identified in CMS data?
CMS-hosted NPPES data lists SAMUEL ALAN BEHRMAN (PHD) with NPI 1548219546.
Does the file indicate SAMUEL ALAN BEHRMAN (PHD) is practicing under active NPI?
Directory data currently reports SAMUEL ALAN BEHRMAN (PHD) as active.
What taxonomy line describes SAMUEL ALAN BEHRMAN (PHD)?
For research purposes, treat SAMUEL ALAN BEHRMAN (PHD) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Does SAMUEL ALAN BEHRMAN (PHD) list a practice location?
Patients near Mariettta, Georgia may find SAMUEL ALAN BEHRMAN (PHD) in results; validate coverage separately.
Why does SAMUEL ALAN BEHRMAN (PHD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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