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● Active Type 1 · Individual

Michelle Theresa Jesse, PH.D.

Clinical (Psychologist)·Marietta, GA· NPI 1003253253 · Enumerated 2013 · 13 years on NPI
Jesse is 1 of 81 clinical (psychologist) providers in Marietta and 1 of 1,520 in Georgia.
NPI age
13 years
Enumerated 2013-05-29
Primary specialty
Clinical (Psychologist)
Plus 1 subspecialty
Licensed in
GA, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-17
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1520 active clinical (psychologist) providers in Georgia.

NPI age
13 years
↓ 4 yr below median (17 yr)
State licenses
2 states
Top 90% — 10% of peers are multi-state
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2013 → 2024

2013-05Enumerated in NPPES
2013 2024

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

Medicare directory context

Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare, retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.

Medicare specialties
Clinical Psychologist
Largest Medicare group
3059 members
Largest listed enrollment group

Facility affiliations reported by CMS

  • Wellstar Medical Group Llc

Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered. View the CMS dataset →

Practice context

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

Recently enumerated nearby: 2 new clinical (psychologist) providers have been added in Marietta in the last 180 days. See all →
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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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