DR. PAUL LAVERE FAIR (NPI# 1316159569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316159569 |
| Entity Type | Individual |
| Full Name | DR. PAUL LAVERE FAIR |
| Credential | PH.D. |
| Practice Address |
3580 Piedmont Road Suite 220 Atlanta GA 30305-1506 |
| Practice Telephone | 4042337439 |
| Mailing Telephone | 4042337439 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1055 | GA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
1055 | GA | Behavioral Health & Social Service Providers |
| Street Address |
3580 PIEDMONT ROAD SUITE 220 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30305-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981322 | Gerald E Roettger | Physical Therapist | 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 | 2020-08-06 |
| 1689202681 | Pt Hills Place Terraces LLC | Assisted Living Facility | 229 Peachtree Hills Place, Atlanta, GA 30305 | 2020-03-27 |
| 1043704299 | Alyssa Elrod Utz | Pharmacist | 3495 Piedmont Road, First Floor, Suite 110, Atlanta, GA 30305 | 2018-06-20 |
| 1508373689 | Kathryn Gohde | Counselor | 3525 Piedmont Rd Nw, Bldg 7 Suite 408, Atlanta, GA 30305 | 2018-01-10 |
| 1386195154 | Ryan Gabriel Wilkins | Physical Therapist | 550 Pharr Rd Ne Ste 550, Atlanta, GA 30305 | 2016-10-17 |
| 1821440587 | Monica Martinez Dicristina | Counselor | 3525 Piedmont Road, Building 7, Suite 408, Atlanta, GA 30305 | 2016-07-06 |
| 1164879532 | Brittany Nicole Albritton | Physical Therapist | 3169 Maple Drive Ne, Atlanta, GA 30305 | 2016-05-16 |
| 1588039275 | Alaina Blevins | Physician Assistant | 240 Pharr Rd Ne, Atlanta, GA 30305 | 2015-12-07 |
| 1558750141 | A2h2 | Clinic/Center | 2909 Peachtree Rd; Nw;, Atlanta, GA 30305 | 2015-01-20 |
| 1144619016 | We Up Home Health Services LLC | Clinic/Center | 2909 Peachtree Rd; Nw, Atlanta, GA 30305 | 2015-01-15 |
| Find all providers in zip 30305 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720483340 | Jessica Haley Geddes | Psychologist | 595 Wimbledon Rd Ne, Atlanta, GA 30324-4965 | 2014-10-24 |
| 1033394820 | Mark Gilson Phd PC | Psychologist | 1772 Century Boulevard, Ne, Atlanta, GA 30345-3396 | 2007-12-31 |
| 1629290366 | Alexandra Mena Phipps | Psychologist | 2312 Peachford Rd Ste C, Atlanta, GA 30338-5823 | 2007-05-03 |
| 1083837827 | Jeri Breiner | Psychologist | 6075 Roswell Rd Ne, Suite 400, Atlanta, GA 30328-4008 | 2007-04-10 |
| 1790854222 | The Bridges Center | Psychologist | 3855 Presidential Pkwy, Atlanta, GA 30340-3705 | 2006-11-07 |
| 1578591863 | Pamela L. Jenkins | Psychologist | 191 Peachtree St Ne, Atlanta, GA 30303-1740 | 2006-06-28 |
| 1609408418 | Alexis Constantin Pavlov | Psychologist | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2020-02-10 |
| 1376903849 | Loren Post | Psychologist | 12 Executive Park Dr Ne, 3rd Floor, Atlanta, GA 30329-2206 | 2016-02-26 |
| 1578860854 | Linda J. Klaitz Ed.d. PC | Psychologist | 300 W Wieuca Rd Ne, Bld.2 Suite 200, Atlanta, GA 30342-3352 | 2011-02-22 |
| 1194029330 | Lindsey L Cohen | Psychologist | 675 Seminole Ave Ne, Suite 107, Atlanta, GA 30307-3408 | 2011-01-03 |
| 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.