Tanja Ketisch
Clinical Psychologist · Atlanta, GA
Tanja Ketisch is a clinical psychologist with a practice address in Atlanta, Georgia, and NPI 1568844835, issued on Jun 23, 2015. Check the license (Georgia PSY004088, as entered in NPPES) with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Tanja Ketisch
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License numbers
- PSY004088 GA
1939 AL
Self-reported in NPPES; status is on the state search - Practice location
- 1160 Wing St, Atlanta, GA 30350
- Phone
- (404) 423-5410
- Enumerated
- Jun 23, 2015
- Record last updated
- Jan 4, 2025
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 1,169 in Georgia → Look up another NPI →
Verify Tanja Ketisch in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license PSY004088Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Tanja Ketisch among 1,169 clinical psychologist records in Georgia
Tanja Ketisch is one of 1,169 clinical psychologist records with a practice address in Georgia. 9% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2015, is newer than 74% of them.
- NPI issued2015 · 74% of these records are older, 23% newer
- In a Medicare fileNo · 9% of these records are
- In the CMS Doctors and Clinicians fileNo · 17% of these records are
- Record last updated2025 · 71% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
367 clinical psychologist records list a practice address in Atlanta
They are 367 of the 31,476 NPPES records with a practice address in Atlanta, and 1,169 clinical psychologist records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,169 in Georgia → Every provider in Atlanta → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Marvin Goldstein, PH.D.Atlanta, GA 303501487860342
- Lisa Salzberg, PH.D.Atlanta, GA 303501952406647
- James Beaumont, PSYDCollege Park, GA 303491801806484
- Sherry Blake, PHDAtlanta, GA 303491124244934
- Melanie Echols, PH.D.College Park, GA 303491043353915
- David Prewett, PSY.D.Atlanta, GA 303491558487678
- Madinah Ralston, PH.D.College Park, GA 303491528289436
- Jeremy Shiver, PSY.D.College Park, GA 303491780059261
Common questions
What is Tanja Ketisch's NPI number?
Tanja Ketisch's National Provider Identifier (NPI) is 1568844835, issued on Jun 23, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Tanja Ketisch located?
The NPPES record lists a practice address at 1160 Wing St, Atlanta, GA, 30350. Phone: (404) 423-5410. Providers update this record themselves, so call before visiting.
How can I verify Tanja Ketisch's license?
NPPES lists Georgia license number PSY004088, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.