SUSAN Z. VOLENTINE (PH.D.) – Psychologist, NPI 1780614636

SUSAN Z. VOLENTINE (PH.D.) is a healthcare provider. based in Marietta, Georgia. specializing in Psychologist. They hold the professional credentials PH.D.. They hold a License No. 1048 (GA). The NPI Number for SUSAN Z. VOLENTINE (PH.D.) is 1780614636

Main info

Female
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN Z. VOLENTINE (PH.D.)
NPI
1780614636
Phone
(770) 427-2911
Address
122 CHERRY ST NE
Enumeration Date
4 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
770427291128
Graduation Year
1983 (43 years ago)
PAC ID
5193802973
Professional Enrollment ID
I20080403000103
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SUSAN Z. VOLENTINE (PH.D.)

  • 122, Cherry Street Northeast, Elizabeth, Marietta, Cobb, Georgia, 30060, United States

    MARIETTA, GA 300607206

    Phone: (770) 427-2911

    Fax: (770) 509-9529

    Mailing address matches the actual address.

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: 2008-04-03

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
I20080403000103IClinical 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 30060)

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Reviews

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Frequently asked questions

Can I cross-check SUSAN Z. VOLENTINE (PH.D.) using NPI 1780614636?
NPI 1780614636 belongs to SUSAN Z. VOLENTINE (PH.D.); compare other details if you need extra assurance.
Is SUSAN Z. VOLENTINE (PH.D.) still an active registrant?
SUSAN Z. VOLENTINE (PH.D.) carries an active NPI according to the public dataset.
What expertise is attributed to SUSAN Z. VOLENTINE (PH.D.)?
SUSAN Z. VOLENTINE (PH.D.)'s specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
Is SUSAN Z. VOLENTINE (PH.D.) located near Marietta?
SUSAN Z. VOLENTINE (PH.D.) currently maps to Marietta, Georgia in this extract.
Does SUSAN Z. VOLENTINE (PH.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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