CAMINO PSYCHOLOGICAL SERVICES, LLC (NPI# 1215403340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215403340 |
| Entity Type | Organization |
| Organization Name | CAMINO PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
2450 Atlanta Hwy Ste 1903 Cumming GA 30040-1237 |
| Practice Telephone | 6788458596 |
| Practice Fax Number | 6788026985 |
| Mailing Telephone | 6788458596 |
| Mailing Fax Number | 6788026985 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |
| Authorized Official Name | GEYSA FLORES (OWNER) |
| Authorized Official Telephone | 6788458596 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| 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 | ||
| N | 103TH0004X |
Psychologist Specialization: Health |
Behavioral Health & Social Service Providers | ||
| N | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
2450 ATLANTA HWY STE 1903 |
| City | CUMMING |
| State | GA |
| Zip Code | 30040-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427405554 | Psychological Diagnostic Center, LLC | Psychologist | 3860 Windermere Pkwy, Unit 203, Cumming, GA 30041-7005 | 2016-05-18 |
| 1477911360 | Heather Ryan | Psychologist | 101 Colony Park Dr Ste 300, Cumming, GA 30040-2751 | 2016-02-05 |
| 1437555877 | Jacquelyn Denise Mckinney | Psychologist | 4755 Silver Stream Dr, Cumming, GA 30040-9044 | 2014-11-12 |
| 1205951860 | Jeanne Latiolais | Psychologist | 314 Tribble Gap Rd, Suite B, Cumming, GA 30040-2475 | 2007-03-20 |
| 1386735462 | Michael W Sessions | Psychologist | 5807 Long Park Rd, Cumming, GA 30040-5718 | 2006-09-27 |
| 1194741306 | Susan Rachel Berel | Psychologist | 3860 Windermere Parkway, Bldg. 203, Cumming, GA 30041 | 2006-07-14 |
| 1093342354 | Geeta Aatre Psychological Services LLC | Psychologist | 3860 Windermere Pkwy Ste 203, Cumming, GA 30041-7034 | 2020-03-26 |
| 1225522477 | Gilberte Bastien | Psychologist | 5975 Parkway North Blvd Ste D, Cumming, GA 30040-8255 | 2018-06-20 |
| 1881013621 | Robin A. Brill, Phd,llc | Psychologist | 5807 Long Park Rd, Cumming, GA 30040-5718 | 2014-04-09 |
| 1619254125 | Brooke A Jones | Psychologist | 5975 Parkway North Blvd, Ste 300d, Cumming, GA 30040-1226 | 2011-11-11 |
| Find all providers in CUMMING | ||||
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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.