DR. LEWIS EMBRY COLLINS JR. (NPI# 1235204991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235204991 |
| Entity Type | Individual |
| Full Name | DR. LEWIS EMBRY COLLINS JR. |
| Credential | PH.D. |
| Practice Address |
4530 S Berkeley Lake Rd Ste B Berkeley Lake GA 30071-1657 |
| Mailing Address |
4530 S Berkeley Lake Rd Suite B Norcross GA 30071-1660 |
| Practice Telephone | 7704465642 |
| Practice Fax Number | 7704465643 |
| Mailing Telephone | 7704465642 |
| Mailing Fax Number | 7704465643 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2017-06-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 0892 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000546356B | 05 | |
| GA | 000546356C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417285347 | Lewis John Collins | Emergency Medical Technician, Basic | 450 Clarkson Ave, Box #30, Brooklyn, NY 11203-2012 | 2009-12-04 |
| 1679669840 | Lewis R Collins Jr. | Dermatology | 4849 Paulsen St, Suite 300, Savannah, GA 31405-4423 | 2006-10-05 |
| Street Address |
4530 S BERKELEY LAKE RD STE B |
| City | BERKELEY LAKE |
| State | GA |
| Zip Code | 30071-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831609 | Juliet A Singletary | Counselor | 4530 S Berkeley Lake Rd, Suite B, Berkeley Lake, GA 30071-1660 | 2005-06-14 |
| 1790275220 | Alexandria Lawrence | Marriage & Family Therapist | 4530 S Berkeley Lake Rd, Berkeley Lake, GA 30071-1660 | 2018-05-10 |
| 1598253494 | Kate Murphy | Social Worker | 4530 S Berkeley Lake Rd, Berkeley Lake, GA 30071-1660 | 2018-04-25 |
| 1467985093 | Doreen R Church | Social Worker | 4530 S Berkeley Lake Rd, Ste B, Berkeley Lake, GA 30071-1657 | 2017-04-10 |
| 1316482854 | Liberating Minds Psychotherapy LLC | Counselor | 4530 S Berkeley Lake Rd, Suite B, Berkeley Lake, GA 30071-1660 | 2016-12-19 |
| 1346785888 | Annie Russell | Counselor | 4530 S Berkeley Lake Rd, Suite B, Berkeley Lake, GA 30071-1660 | 2016-12-19 |
| 1467994996 | Erin Simone | Counselor | 4530 S Berkeley Lake Rd, Berkeley Lake, GA 30071-1660 | 2016-11-15 |
| 1114383817 | Mitchell Foy | Counselor | 4530 S Berkeley Lake Rd, Suite B, Berkeley Lake, GA 30071-1660 | 2016-01-11 |
| 1699140053 | Kristy Larkin | Social Worker | 4530 S Berkeley Lake Rd, Berkeley Lake, GA 30071-1660 | 2015-12-09 |
| 1487043816 | Mary Ann Pearson | Counselor | 4530 S Berkeley Lake Rd, Suite B, Berkeley Lake, GA 30071-1660 | 2015-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072015 | Karen A Foster | Psychologist | 2115 Dee Dee Muse Ln Nw, Atlanta, GA 30318-1503 | 2020-08-08 |
| 1013525120 | Renato Popovic | Psychologist | 2601 Cross Country Dr, Columbus, GA 31906-1801 | 2020-07-15 |
| 1275159584 | Joe Ann Marie Brandt | Psychologist | 11706 Mercy Blvd Ste 1, Savannah, GA 31419-1751 | 2020-06-23 |
| 1376164863 | Alexander Brikman | Psychologist | 2374 Main St Ste A, Tucker, GA 30084-4533 | 2020-05-06 |
| 1154942084 | Martie Camille Belle | Psychologist | 1462 Clifton Rd Ne Ste 235, Atlanta, GA 30322-1063 | 2020-05-01 |
| 1518513738 | Narjerah Delk | Psychologist | 1226 Anchor Ter Sw, Atlanta, GA 30311-3402 | 2019-08-13 |
| 1043862907 | Lauren Barbara Mcsweeney | Psychologist | 12 Executive Park Dr Ne Ste 3000, Atlanta, GA 30329-2206 | 2019-07-11 |
| 1356907695 | Mc Medical LLC | Psychologist | 3615 Charles Hardy Pkwy Ste 200, Dallas, GA 30157-9472 | 2019-05-13 |
| 1851853758 | Charles A Helm | Psychologist | 116 Preston Landing Cir, Lithia Springs, GA 30122-6846 | 2019-04-01 |
| 1194285106 | Heather Ansari | Psychologist | 3715 Northside Pkwy Nw Ste 605, Atlanta, GA 30327-2886 | 2019-03-25 |
| Find all providers with the same taxonomy | ||||
| City | BERKELEY LAKE |
| Zip Code | 30071 |
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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.