FAITHBRIDGE PSYCHOLOGICAL SERVICES LLC (NPI# 1073935854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073935854 |
| Entity Type | Organization |
| Organization Name | FAITHBRIDGE PSYCHOLOGICAL SERVICES LLC |
| Practice Address |
2655 Northwinds Pkwy Alpharetta GA 30009-2280 |
| Practice Telephone | 7706435501 |
| Mailing Telephone | 7706435501 |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |
| Authorized Official Name | BILL HANCOCK (PRESIDENT) |
| Authorized Official Telephone | 6786907102 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAITHBRIDGE FOSTER CARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
2655 NORTHWINDS PKWY |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30009-2280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558357111 | Brian R. Treston | Nurse Anesthetist, Certified Registered | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | 2005-09-20 |
| 1013524776 | Taylor M Harrell | Registered Nurse | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | 2020-09-28 |
| 1891302873 | Samantha Motis | Registered Nurse | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | 2020-09-24 |
| 1851903611 | Marina Kravchenko | Nurse Anesthetist, Certified Registered | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | 2020-08-21 |
| 1083226922 | Joshua A Getzinger | Nurse Anesthetist, Certified Registered | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | 2020-08-21 |
| 1528691219 | Evelyn Mitchell | Registered Nurse | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | 2020-02-20 |
| 1720628878 | Hannah Patricia Freeman | Nurse Anesthetist, Certified Registered | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | 2020-01-07 |
| 1700434438 | Jacob M Chaffee | Nurse Anesthetist, Certified Registered | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | 2019-08-27 |
| 1245886738 | Corey Colley | Registered Nurse | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | 2019-08-12 |
| 1740846534 | Cassandra King | Registered Nurse | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 | 2019-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| 1437778354 | Therapeutic Alliance LLC | Social Worker | 2300 Lakeview Parkway, Suite 700, Alpharetta, GA 30009 | 2020-04-10 |
| 1457901209 | Carehere LLC | Family Medicine | Carehere Clinic- Jackson Healthcare, 2655 Northwinds Pkwy, Alpharetta, GA 30009 | 2019-09-13 |
| 1952888927 | Total Access Pediatrics LLC | Pediatrics | 401 S Main St Ste A1, Alpharetta, GA 30009 | 2018-07-23 |
| 1356836878 | Hcenti, LLC | Audiologist-Hearing Aid Fitter | 2365 Old Milton Parkway, Alpharetta, GA 30009 | 2018-06-27 |
| 1093203341 | Samantha Elizabeth Heuwagen | Marriage & Family Therapist | 286 S Main St Ste 100, Alpharetta, GA 30009 | 2018-04-23 |
| 1275035578 | Personal Concierge Md, LLC | Internal Medicine | 10105 Westside Parkway, Suite 110, Alpharetta, GA 30009 | 2018-03-02 |
| 1124474929 | Allyne Anesthesia PC | Anesthesiology | 11675 Rainwater Drive, Suite 250, Alpharetta, GA 30009 | 2016-05-11 |
| 1932579885 | Patricia Aycock Jones Garrett | Nurse Practitioner | 1031a Cambridge Square, Alpharetta, GA 30009 | 2015-10-05 |
| 1558770123 | Terry A Williams | Physician Assistant | 2400 Old Milton Parkway, #1433, Alpharetta, GA 30009 | 2014-08-07 |
| Find all providers in zip 30009 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639422603 | Family and Child Development Center of Johns Creek Ltd | Psychologist | 360 Prospect Pl, Alpharetta, GA 30005-5467 | 2012-10-16 |
| 1205188554 | Mindful Psychological Services | Psychologist | 288 S Main St Ste 300, Alpharetta, GA 30009-1944 | 2012-10-11 |
| 1215168323 | Rosario Morillo Falero | Psychologist | 310 Prospect Pl, Alpharetta, GA 30005-5467 | 2009-08-06 |
| 1073741781 | Katrina L Lokken | Psychologist | 286 S Main St, Suite 200, Alpharetta, GA 30009-7914 | 2009-07-01 |
| 1891908380 | Susan Van Giesen Evans | Psychologist | 3625 Brookside Pkwy, Suite 545, Alpharetta, GA 30022-3718 | 2007-05-08 |
| 1184749103 | Gracelyn Claire Franco | Psychologist | 1121 Alderman Dr, Suite 106, Alpharetta, GA 30005-5463 | 2007-03-20 |
| 1740305663 | Carleton A Palmer | Psychologist | 5490 Mcginnis Village Pl, Suite 112, Alpharetta, GA 30005-1733 | 2007-03-20 |
| 1063564920 | Karen Diane Pape | Psychologist | 1070 Cambridge Square, Suite A, Alpharetta, GA 30004 | 2007-01-18 |
| 1336204015 | Allan M Blum | Psychologist | 296 S Main St Ste 200, Alpharetta, GA 30004-1973 | 2006-12-24 |
| 1982779781 | Julie Ellen Thomley | Psychologist | 2300 Lakeview Pkwy, Suite 700, Alpharetta, GA 30004-7982 | 2006-11-21 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30009 |
Please comment or provide details below to improve the information on FAITHBRIDGE PSYCHOLOGICAL SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.