AUSBORN BEHAVIORAL CARE, P.C. (NPI# 1114196912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114196912 |
| Entity Type | Organization |
| Organization Name | AUSBORN BEHAVIORAL CARE, P.C. |
| Practice Address |
1456 Mclendon Dr Ste B Decatur GA 30033-1848 |
| Practice Telephone | 7709384616 |
| Practice Fax Number | 7709384615 |
| Mailing Telephone | 7709384616 |
| Mailing Fax Number | 7709384615 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | DR. WILLIE F. AUSBORN (PRESIDENT) |
| Authorized Official Telephone | 7709384616 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
1456 MCLENDON DR STE B |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417513391 | Patricia Alexandra Herdocia | Occupational Therapist | 1456 Mclendon Dr Ste B, Decatur, GA 30033-1848 | 2019-05-15 |
| 1144796723 | Eliza Henner Sparks | Occupational Therapist | 1456 Mclendon Dr Ste B, Decatur, GA 30033-1848 | 2018-10-22 |
| 1790277341 | Gabriel N Smith | Speech-Language Pathologist | 1456 Mclendon Dr Ste B, Decatur, GA 30033-1848 | 2018-05-30 |
| 1205336336 | Amanda Celeste Benes | Speech-Language Pathologist | 1456 Mclendon Dr Ste B, Decatur, GA 30033-1848 | 2018-02-15 |
| 1184137820 | Holly Bramlett | Occupational Therapist | 1456 Mclendon Dr Ste B, Decatur, GA 30033-1848 | 2017-11-15 |
| 1356854129 | Artem Djouraev | Occupational Therapist | 1456 Mclendon Dr Ste B, Decatur, GA 30033-1848 | 2017-11-14 |
| 1972926913 | Kavita Ranchhod | Occupational Therapist | 1456 Mclendon Dr Ste B, Decatur, GA 30033-1848 | 2014-01-28 |
| 1528480977 | Emily C. Trent | Physical Therapist | 1456 Mclendon Dr Ste B, Decatur, GA 30033-1848 | 2014-01-19 |
| 1598190266 | Cirila N Rumaguera | Physical Therapist | 1456 Mclendon Dr Ste B, Decatur, GA 30033-1848 | 2013-09-12 |
| 1851726525 | Lisa Rosenfield | Speech-Language Pathologist | 1456 Mclendon Dr Ste B, Decatur, GA 30033-1848 | 2013-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280709 | Imani Psychological Services, Inc | Psychologist | 315 W Ponce De Leon Ave Ste 725, Decatur, GA 30030-2464 | 2019-11-20 |
| 1326513102 | Brittany Denise Baker | Psychologist | 1670 Clairmont Rd Rm 3b250, Decatur, GA 30033-4004 | 2018-10-09 |
| 1194228460 | Amy Elizabeth Wingard | Psychologist | 2366 Harrington Dr, Decatur, GA 30033-4902 | 2018-03-13 |
| 1386016301 | Christopher Awosika | Psychologist | 2848 Vining Ridge Ter, Decatur, GA 30034-7500 | 2015-10-29 |
| 1477976173 | Rhea Gordon Phd LLC | Psychologist | 1439 Mclendon Drive, Decatur, GA 30033-1841 | 2014-01-31 |
| 1093054413 | Life Center Counseling and Resources | Psychologist | 1 W Court Sq, Suite 750, Decatur, GA 30030-2538 | 2013-02-05 |
| 1376896696 | Delia L Lang | Psychologist | 2440 Lawrenceville Hwy Ste 200, Decatur, GA 30033-3267 | 2012-10-24 |
| 1407105703 | Virginia L Goetsch, Ph.d., LLC | Psychologist | 775 Commerce Dr, Suite 903, Decatur, GA 30030-2620 | 2012-08-31 |
| 1801022413 | Lisa Clark Enterprises, Inc | Psychologist | 2785 Lawrenceville Hwy Ste 207, Decatur, GA 30033-2515 | 2009-06-09 |
| 1851509962 | David George Morgan | Psychologist | 867 Vistavia Cir, Decatur, GA 30033-3409 | 2007-05-21 |
| Find all providers in DECATUR | ||||
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| 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.