Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669536405 Individual Practitioner Male Practitioner

Dr. Michael John Credidio , PsyD

Psychologist • Newnan, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Credidio, PsyD is a certified Psychologist practicing in Newnan, GA. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Credidio delivers high-quality medical care to the local community at 2 LEE STREET.

Dr. Credidio is affiliated with Personal Recovery Network Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2 Lee Street
Suite A

Newnan, GA 302637508

Telephone 6783264488
Fax 6786692693
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Newnan, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs Matches City Avg
City Avg: 26.0 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Newnan, 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

Clinical Seniority & Experience Comparison

Dr. Credidio (26 Years) 26 Yrs
Newnan Specialty Average (26.0 Years) 26.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-06
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License GA PSY002670

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
281868610A (GA)
Medicaid State Provider ID
281868610C (GA)

Hospital & Practice Group Affiliations

Personal Recovery Network Llc

125 Governors Sq, Peachtree City, GA 302694871

Phone: 6784235500

Secondary Practice Locations

2959 Sharpsburg Mccullum Rd Ste 105

Newnan, GA 302652297

Phone: 6784235500

Practice Associates & Co-Workers

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

13 Associated Practitioners
Ashley Bonvillain , LPC

Counselor - Professional

NPI 1063753002

Licensed Professional Counselor

Matthew Rudy , MFT, S, T

Marriage & Family Therapist

NPI 1063766269

Marriage and Family Therapist, S, T

Alison Brown , LMSW

Social Worker

NPI 1114240801

Licensed Master Social Worker

Anne Rasche , LAPC

Counselor - Professional

NPI 1306085279
Robin Lasseter , NCC, LAPC

Counselor - Professional

NPI 1356639900

National Certified Counselor, LAPC

Wanda Cager , LAPC

Counselor - Professional

NPI 1366716797

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address July 06, 2026

Registered at 4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 852517630

👤
Provider Name / Credentials Updated July 06, 2026

Recorded as MICHAEL CREDIDIO, PSYD

NPI Profile Active April 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2014

Registered at 2 LEE STREET, SUITE A, NEWNAN, GA 302637508 (Tel: 6783264488)

📍
Updated Business Mailing Address April 02, 2014

Registered at 2 LEE ST, SUITE A, NEWNAN, GA 302631915 (Tel: 6783264488)

👤
Provider Name / Credentials Updated April 02, 2014

Recorded as MICHAEL CREDIDIO, PSY D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2014

Psychologist (License #PSY002670 in GA)

🟢
Initial NPI Registration & Enumeration December 19, 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: 1669536405
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2006
Last Update: July 06, 2026
Sole Proprietor: No

Mailing Address

4800 N Scottsdale Rd Ste 2500

Scottsdale, AZ 852517630

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.