BRIDGET KATHLEEN MCNULTY (NPI# 1356875223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356875223 |
| Entity Type | Individual |
| Full Name | BRIDGET KATHLEEN MCNULTY |
| Credential | MS, MD |
| Practice Address |
12 Executive Park Dr Ne Ste 331 Atlanta GA 30329 |
| Mailing Address |
4800 Sand Point Way Ne Seattle WA 98105-3901 |
| Practice Telephone | 4047275157 |
| Mailing Telephone | 4047275157 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD61071235 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1959 Ne Pacific St, Box 356421, Seattle, WA 981956421 | 4065393308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689967937 | Bridget Mcnulty | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2011-05-19 |
| Street Address |
12 EXECUTIVE PARK DR NE STE 331 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962899500 | Amitha Dhingra | Psychiatry & Neurology | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2015-04-21 |
| 1720617608 | Tyler Scott Vanderhoof | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2020-04-03 |
| 1437612066 | Paul Kim | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2019-04-10 |
| 1720540016 | Jonathan Chance Ortego | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2019-04-04 |
| 1700364403 | Aniket Malhotra | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2018-08-03 |
| 1710475389 | Jennifer Lyn Grant | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2018-04-28 |
| 1073001871 | Andrew Joseph Ebner | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2018-04-26 |
| 1720584881 | Erica Weber Rymarczyk | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2018-04-05 |
| 1477059160 | Cody Alan Overmyer | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2018-04-02 |
| 1902302821 | Karen Elaine Giles | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2018-03-30 |
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| 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 | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265064364 | Haven Psychiatry, LLC | Psychiatry & Neurology | 5871 Glenridge Dr Ste 220, Atlanta, GA 30328-5305 | 2020-02-06 |
| 1619309309 | Howel William Slaughter Jr. | Psychiatry & Neurology | 40 Abington Ct Nw, Atlanta, GA 30327-1352 | 2013-08-05 |
| 1427493568 | Susan Kirsch | Psychiatry & Neurology | 7000 Peachtree Dunwoody Rd Bldg 16, Atlanta, GA 30328-1655 | 2013-05-02 |
| 1548550429 | Bene' Mental Wellness | Psychiatry & Neurology | 1835 Savoy Dr Ste 101, Atlanta, GA 30341-1073 | 2011-04-13 |
| 1710280011 | Adam F Silberman | Psychiatry & Neurology | 690 Courtenay Dr Ne, Atlanta, GA 30306-3421 | 2010-12-08 |
| 1497908834 | David Mark Battista | Psychiatry & Neurology | 3149 E Shadowlawn Ave Ne, Atlanta, GA 30305-2405 | 2008-10-29 |
| 1548481005 | Nina Brazell Bass | Psychiatry & Neurology | 2967 Grandview Avenue, Atlanta, GA 30305 | 2007-05-01 |
| 1285752196 | Charlesetta Shelton Scott | Psychiatry & Neurology | 317 Woodward Ave Se, Atlanta, GA 30312-2123 | 2007-03-27 |
| 1356375315 | Maryann Kuruvilla Jacob | Psychiatry & Neurology | 1256 Briarcliff Rd Ne Rm 321, Atlanta, GA 30306-2636 | 2006-07-10 |
| 1497711550 | Kimberly Anne Venable | Psychiatry & Neurology | 1256 Briarcliff Rd Ne, Atlanta, GA 30306-2636 | 2006-04-25 |
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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.