Dr Madinah Ikhlas Ralston, PHD - Psychologist in College Park, GA

Dr Madinah Ikhlas Ralston, PHD is a Psychologist - Clinical based in College Park, Georgia. Dr Madinah Ikhlas Ralston is licensed to practice in Georgia (license number PSY003079) and her current practice location is 1631 Phoenix Blvd, Suite 5, College Park, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 909-6550.

NPI number for Dr Madinah Ikhlas Ralston is 1528289436 and her current mailing address is 7059 Red Maple Ln, Lithonia, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528289436.

Contact Information

Dr Madinah Ikhlas Ralston, PHD
1631 Phoenix Blvd, Suite 5,
College Park, GA 30349-5545
(770) 909-6550
(770) 909-6551

Map and Direction




Healthcare Provider's Profile

Full NameDr Madinah Ikhlas Ralston
GenderFemale
SpecialityPsychologist - Clinical
Location1631 Phoenix Blvd, College Park, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528289436
  • Provider Enumeration Date: 05/01/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Madinah Ikhlas Ralston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528289436NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY003079 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Madinah Ikhlas Ralston is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Madinah Ikhlas Ralston, PHD
7059 Red Maple Ln,
Lithonia, GA 30058-2998

Ph: (404) 432-5259
Dr Madinah Ikhlas Ralston, PHD
1631 Phoenix Blvd, Suite 5,
College Park, GA 30349-5545

Ph: (770) 909-6550

Reviews and Comments


Psychologist in College Park, GA

Melanie M Echols, PH.D.
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Phone: 770-996-9725    Fax: 770-996-9724
Ms. Lynda Renee Smith, PHD
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Practice Location: 2227 Godby Road, Suite #207, College Park, GA 30349
Phone: 404-669-8557    Fax: 404-669-0497
John Myers,
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Practice Location: 5714 Old National Hwy, College Park, GA 30349
Phone: 678-408-1584    
Vuyo Mpumlwana, PHD
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Medicare: Not Enrolled in Medicare
Practice Location: 1897 Godby Rd, College Park, GA 30349
Phone: 770-996-7622    Fax: 770-996-5469
Jeremy Cade Shiver, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1651 Phoenix Blvd, Suite 2, College Park, GA 30349
Phone: 770-997-1738    Fax: 770-991-1375
Dr. James Beaumont, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1631 Phoenix Blvd Ste 5, College Park, GA 30349
Phone: 770-909-6550    Fax: 770-909-6551

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.