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Deactivated NPI 1376648162 Deactivated / Inactive NPI Male Practitioner

Dr. Paul F.f. Trudeau , PhD

Psychologist • Atlanta, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Trudeau has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 14, 2006
NPI Deactivation Date May 08, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Trudeau, PhD was a registered Psychologist practicing in Atlanta, GA. Throughout an active medical career spanning 19 years, Dr. Trudeau provided care at the practice location at 1708 PEACHTREE ST. until profile deactivation on 2025-05-08.

Practice Location & Contact Primary Location

Practice Address

1708 Peachtree St.
Suite 505

Atlanta, GA 303097017

Telephone 4048728065
Fax 4048720925

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.5 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
284 Specialists

Practicing in Atlanta, GA (941 Statewide)

Telehealth Adoption Rate
3.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License GA 1742

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Michael Chafin , M DIV, M ED

Marriage & Family Therapist

NPI 1154530046

MDIV, Master of Education

NPI 1255422580

Doctor of Philosophy (Ph.D.)

Marvin Fergus , MDIV, THM

Marriage & Family Therapist

NPI 1568511020

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 08, 2025

Record deactivated on May 08, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1708 PEACHTREE ST., SUITE 505, ATLANTA, GA 303097017 (Tel: 4048728065)

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Updated Business Mailing Address July 08, 2007

Registered at 1708 PEACHTREE ST., SUITE 505, ATLANTA, GA 303097017 (Tel: 4048728065)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL TRUDEAU, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #1742 in GA)

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Initial NPI Registration & Enumeration September 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376648162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2006
Last Update: July 08, 2007
Deactivation Date: May 08, 2025

Mailing Address

1708 Peachtree St., Suite 505

Atlanta, GA 303097017

Phone: 4048728065

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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