JESSICA CHANG (NPI# 1114372455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114372455 |
| Entity Type | Individual |
| Full Name | JESSICA CHANG |
| Practice Address |
12 Executive Park Dr Ne # 200 Atlanta GA 30329-2206 |
| Mailing Address |
445 Winn Way Decatur GA 30030-1707 |
| Practice Telephone | 4047270010 |
| Mailing Telephone | 4045087796 |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
80709 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1912457565 | Jessica Ten Roen Chang | Pharmacist | 801 Church St, Apt 1319, Mountain View, CA 94041-1908 | 2016-10-06 |
| 1457656266 | Jessica Chang | Community Health Worker | 10709 N Division, Spokane, WA 99218 | 2011-01-26 |
| 1538398557 | Jessica Lee Chang | Pharmacist | 1104 Carlton Park Dr, Flowood, MS 39232-5535 | 2009-07-12 |
| 1972667889 | Jessica T Chang | Optometrist | 3525 W Carson St, Del Amo Fashion Center Unit 30, Torrance, CA 90503-5704 | 2006-12-22 |
| 1851466841 | Jessica Chang | Optometrist | 2734 54th Ave Ne, Tacoma, WA 98422-3212 | 2006-11-22 |
| 1588290746 | Jessica Chang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-03-19 |
| 1912425232 | Jessica Yejenn Chang | Physical Therapist | 37 Union Sq W Fl 3, New York, NY 10003-3217 | 2017-09-07 |
| 1063944486 | Jessica Eun Chang | Occupational Therapist | 4310 Forest Hill Dr, Fairfax, VA 22030-5680 | 2017-04-03 |
| 1275073306 | Jessica Chang | Nurse Anesthetist, Certified Registered | 1800 N California St, Stockton, CA 95204 | 2017-03-08 |
| Street Address |
12 EXECUTIVE PARK DR NE # 200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427554336 | Benson Ku | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne # 200, Atlanta, GA 30329-2206 | 2018-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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 and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285264770 | Holistic Family Psychiatry | Psychiatry & Neurology | 1535 Mount Vernon Rd Ste 100-a, Atlanta, GA 30338-4149 | 2020-01-23 |
| 1356803985 | Magnolia Med Management, LLC | Psychiatry & Neurology | 2295 Parklake Dr Ne Ste 552, Atlanta, GA 30345-2844 | 2019-04-02 |
| 1275997843 | Carolina Ribeiro | Psychiatry & Neurology | 12 Executive Park Dr Ne Ste 142, Atlanta, GA 30329-2206 | 2016-04-11 |
| 1427412139 | Diana Woodall | Psychiatry & Neurology | 1700 Northside Dr Nw Ste A7, Atlanta, GA 30318-2695 | 2016-04-08 |
| 1962899500 | Amitha Dhingra | Psychiatry & Neurology | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2015-04-21 |
| 1104232008 | John Cook Bartlett | Psychiatry & Neurology | 187 12th St Ne, Atlanta, GA 30309-4055 | 2014-07-11 |
| 1902229701 | Lawrence David Baker | Psychiatry & Neurology | 2950 Mount Wilkinson Pkwy Se Unit 613, Atlanta, GA 30339-3655 | 2014-01-29 |
| 1326482241 | Milena Hirata Armani | Psychiatry & Neurology | 12 Executive Park Dr Ne Ste 200, Atlanta, GA 30329 | 2013-04-22 |
| 1285976928 | R Matthew Kamins | Psychiatry & Neurology | 2480 Briarcliff Rd Ne, Suite 6-233, Atlanta, GA 30329-3034 | 2013-03-20 |
| 1033461736 | Ian I. Lipsitch, M.d., P.C. | Psychiatry & Neurology | 5064 Roswell Road, N.e., Suite D-201, Atlanta, GA 30342-2266 | 2012-10-05 |
| Find all providers in ATLANTA | ||||
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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.