GEORGIA PSYCHOLOGICAL SERVICES FOR SENIORS INC (NPI# 1407069685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407069685 |
| Entity Type | Organization |
| Organization Name | GEORGIA PSYCHOLOGICAL SERVICES FOR SENIORS INC |
| Practice Address |
2160 Fountain Dr Snellville GA 30078-7022 |
| Practice Telephone | 4048433159 |
| Practice Fax Number | 7709828848 |
| Mailing Telephone | 4048433159 |
| Mailing Fax Number | 7709828848 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAY ALAN WEINSTEIN (OWNER) |
| Authorized Official Telephone | 7709822352 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 2257 | GA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
2257 | GA | Behavioral Health & Social Service Providers |
| Street Address |
2160 FOUNTAIN DR |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-7022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280551 | Jae H Pak | Psychiatry & Neurology | 2160 Fountain Dr, Suite 200, Snellville, GA 30078-7022 | 2005-07-22 |
| 1326687930 | Joshua Morris | General Acute Care Hospital | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2019-12-30 |
| 1457839219 | Melissa Marie Gray | Nurse Practitioner | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2018-08-03 |
| 1114308475 | Kimberly Schiavoni | Nurse Practitioner | 2160 Fountain Dr, Suite D, Snellville, GA 30078-7022 | 2015-06-12 |
| 1578981130 | Eastside Behavioral Health Associates LLC | Psychiatry & Neurology | 2160 Fountain Dr, Suite 100, Snellville, GA 30078-7022 | 2014-04-01 |
| 1417192360 | Joshua Morris | Psychiatry & Neurology | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2008-12-06 |
| 1235388935 | Robin Matney Boggess | Nurse Practitioner | 2160 Fountain Dr, Suite D, Snellville, GA 30078-7022 | 2008-09-17 |
| 1396878500 | Franckel Val Md PC | Psychiatry & Neurology | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2007-03-14 |
| 1134290497 | Frankel Val Md PC | Legal Medicine | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2006-11-10 |
| 1457438541 | Heritage Medical Care LLC | Specialist | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104037126 | Stephen Orey | Clinical Neuropsychologist | 2795 W Main St Ste 25a, Snellville, GA 30078-3075 | 2007-05-24 |
| 1336358688 | Jay Weinstein | Clinical Neuropsychologist | 2795 W Main St Ste 25a, Snellville, GA 30078-3075 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614746 | Neuropsychology Associates of Georgia LLC | Clinical Neuropsychologist | 280 Interstate North Cir Se Ste 450, Atlanta, GA 30339-2451 | 2020-03-21 |
| 1023586773 | The Atlanta Psychology Group | Clinical Neuropsychologist | 3500 Piedmont Rd Ne Ste 740, Atlanta, GA 30305-1507 | 2018-11-09 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1316451719 | Zainab Delawalla | Clinical Neuropsychologist | 125 Clairemont Ave Ste 510, Decatur, GA 30030-2504 | 2017-11-21 |
| 1588199327 | Scott Edward Miller | Clinical Neuropsychologist | 352 Milledge Hall, University of Georgia, Athens, GA 30602-5875 | 2017-05-01 |
| 1053850172 | S. Marilyn Miller | Clinical Neuropsychologist | 90 Fairlie St Nw, Suite 203, Atlanta, GA 30303-2127 | 2017-02-22 |
| 1457898371 | Tamara Weiss, M.d., LLC | Clinical Neuropsychologist | 1772 Century Blvd Ne Ste A, Atlanta, GA 30345-3396 | 2017-01-30 |
| 1689048076 | Laura Blackwell | Clinical Neuropsychologist | 5455 Meridian Marks Rd Ste 180, Atlanta, GA 30342-4716 | 2015-11-23 |
| 1003205741 | Lifespan Psychology, P.C. | Clinical Neuropsychologist | 98 Voorhees Rd E, Hamilton, GA 31811-5671 | 2015-01-19 |
| Find all providers with the same taxonomy | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
Please comment or provide details below to improve the information on GEORGIA PSYCHOLOGICAL SERVICES FOR SENIORS INC.
| 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.