P Praxis·MD
● Active Type 1 · Individual

DR. David Raque, PH.D

Psychologist·Atlanta, GA· NPI 1326108648 · Enumerated 2006 · 19 years on NPI
Raque is 1 of 321 psychologist providers in Atlanta and 1 of 1114 in Georgia.
NPI age
19 years
Enumerated 2006-12-08
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1114 active psychologist providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
11b Lenox Pointe Ne
Atlanta, GA 303243171
📞 7064552492fax 7064925714
Mailing address
Po Box 429
Mineral Bluff, GA 305590429
📞 7064552492fax 7044925714

Specialties

  • Psychologist Primary
    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,...
    GA license #PSY000413 taxonomy 103T00000X
  • Psychologist
    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 #PSY000413 taxonomy 103TC0700X

Identifiers

TypeValueNotes
01 (GA) PSY000413 LICENSE NUMBER

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 5 new psychologist providers have been added in Atlanta 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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