DR. SARAI PADILLA (NPI# 1215074786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215074786 |
| Entity Type | Individual |
| Full Name | DR. SARAI PADILLA |
| Credential | PSY.D. |
| Practice Address |
Medlin Treatment Center 110 Eagles Walk, Ste. 100 Stockbridge GA 30281-7204 |
| Mailing Address |
110 Eagles Walk Ste 100 Stockbridge GA 30281-7203 |
| Practice Telephone | 7705076044 |
| Practice Fax Number | 7705075284 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2009-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
012193 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY003101 | GA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY003101 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 457428408A | 05 | |
| GA | MAGELLAN | 600411039 | 01 |
| GA | CENPATICO | 457428408A | 01 |
| GA | 457428408B | 05 | |
| GA | CENPATICO | 457428408B | 01 |
| GA | 457428408C | 05 | |
| GA | CENPATICO | 457428408C | 01 |
| GA | AMERIGROUP | 01071167 | 01 |
| Street Address |
MEDLIN TREATMENT CENTER 110 EAGLES WALK, STE. 100 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-7204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386134872 | Kathryn Elise Gallagher | Psychologist | Austen Riggs Center 25 Main Street, Stockbridge, MA 01262-0962 | 2018-05-10 |
| 1457472185 | Kathleen Elizabeth Grimes | Psychologist | 110 Eagles Walk Ste 100, Stockbridge, GA 30281-7203 | 2007-04-02 |
| 1679612600 | Jane G Tillman | Psychologist | 25 Main St., The Austen Riggs Center, Stockbridge, MA 01262-0962 | 2007-02-06 |
| 1467518035 | Frances Lippmann | Psychologist | 2 Cherry St, Stockbridge, MA 01262 | 2006-12-28 |
| 1861597320 | Paul Lippman | Psychologist | 3 Elm Street, Stockbridge, MA 01262 | 2006-09-13 |
| 1548374457 | Joanne S. Yurman | Psychologist | 31 Main Street, Stockbridge, MA 01262-0682 | 2006-08-18 |
| 1861413494 | Joseph T Pate Jr. | Psychologist | 240 Corporate Center Dr, Suite D, Stockbridge, GA 30281-7214 | 2006-07-21 |
| 1477110427 | Hannah Atlas Wallerstein | Psychologist | 25 Main Street, Stockbridge, MA 01262 | 2019-05-24 |
| 1457835936 | Sandra Delgado | Psychologist | 25 Main St., Stockbridge, MA 01262-0962 | 2018-09-20 |
| 1417304783 | Seth Remington Pitman | Psychologist | Austen Riggs Center, 25 Main Street, Stockbridge, MA 01261 | 2016-05-17 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on DR. SARAI PADILLA.
| 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.