Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215348719 Individual Practitioner Male Practitioner

Dr. Jack L. Talley , PhD

Psychologist • Canton, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Talley, PhD is a registered healthcare professional specializing in Psychologist in Canton, GA. Practice services are available at 140 E MARIETTA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

140 E Marietta St

Canton, GA 301143013

Telephone 7702133594
Fax 7703153595
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Canton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Canton, GA (941 Statewide)

Telehealth Adoption Rate
0.0% 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 1489

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

7 Associated Practitioners
NPI 1003254327

Doctor of Philosophy (Ph.D.), Board Certified Behavior Analyst - Doctoral

Amy Brown , BCBA

Behavior Analyst

NPI 1336532969

Board Certified Behavior Analyst

Dr. Diane Hollander , PsyD, BCBA-D

Psychologist - Clinical Child & Adolescent

NPI 1497196109

Doctor of Psychology (Psy.D.), Board Certified Behavior Analyst - Doctoral

NPI 1730666439

Master of Education, Board Certified Behavior Analyst

NPI 1780817817

Doctor of Philosophy (Ph.D.)

Ben Harris , MED

Behavior Analyst

NPI 1861008922

Master of Education

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2014

Registered at 140 E MARIETTA ST, CANTON, GA 301143013 (Tel: 7702133594)

📍
Updated Business Mailing Address May 19, 2014

Registered at 140 E MARIETTA ST, CANTON, GA 301143013 (Tel: 7702133594)

👤
Provider Name / Credentials Updated May 19, 2014

Recorded as JACK TALLEY, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2014

Psychologist (License #1489 in GA)

🟢
Initial NPI Registration & Enumeration May 19, 2014

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: 1215348719
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2014
Last Update: May 19, 2014
Sole Proprietor: Yes

Mailing Address

140 E Marietta St

Canton, GA 301143013

Phone: 7702133594

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.