P Praxis·MD
● Active Type 1 · Individual

Kathryn Bertacchi

Psychiatry & Neurology·Roswell, GA· NPI 1174055891 · Enumerated 2017 · 9 years on NPI
Bertacchi is 1 of 41 psychiatry & neurology providers in Roswell and 1 of 1678 in Georgia.
NPI age
9 years
Enumerated 2017-03-31
Primary specialty
Psychiatry & Neurology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1678 active psychiatry & neurology providers in Georgia.

NPI age
9 years
↓ 9 yr below median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-03Enumerated in NPPES
2017 2026

Where they practice

Practice location
300 Colonial Center Pkwy
Roswell, GA 300764899
📞 8333518255
Mailing address
79 Sunday'S Well Rd, Apt 3
Cork, CO T23AE93

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
109 W 27th St Rm 5s
New York, NY 100016208
📞 8333518255
Location 3
100 Pine St
San Francisco, CA 941115102
📞 8333518255

Specialties

  • Psychiatry & Neurology Primary
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    GA license #89208 taxonomy 2084P0800X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Identifiers

TypeValueNotes
01 (GA) 89208 GA LICENSE

Practice context

Part of a multi-provider practice. 17 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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