P Praxis·MD
● Active Type 1 · Individual

Michelle Theresa Jesse, PH.D.

Psychologist·Marietta, GA· NPI 1003253253 · Enumerated 2013 · 12 years on NPI
Jesse is 1 of 75 psychologist providers in Marietta and 1 of 1487 in Georgia.
NPI age
12 years
Enumerated 2013-05-29
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
GA, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1487 active psychologist providers in Georgia.

NPI age
12 years
↓ 5 yr below median (17 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Practice location
55 Whitcher St Ne Ste 420
Marietta, GA 300601171
📞 7705146760fax 7707948034
Mailing address
55 Whitcher St Ne Ste 420
Marietta, GA 300601171
📞 7705146760fax 7707948034

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2799 W Grand Blvd
Detroit, MI 482022608
📞 3139165243

Specialties

  • Psychologist Primary
    A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
    GA license #PSY004749MI license #6301014633 taxonomy 103TC0700X

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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