DR. STEPHANIE STEVENS LEEDY-ELLIS (NPI# 1447346101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447346101 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE STEVENS LEEDY-ELLIS |
| Credential | PH.D. |
| Practice Address |
3949 Holcomb Bridge Road Suite 200 Norcross GA 30092-2208 |
| Practice Telephone | 4042313364 |
| Practice Fax Number | 7708137446 |
| Mailing Telephone | 4042313364 |
| Mailing Fax Number | 7708137446 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1688 | GA | Behavioral Health & Social Service Providers |
| Street Address |
3949 HOLCOMB BRIDGE ROAD SUITE 200 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30092-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083172035 | Tebo Dentistry for Kids Peachtree Corners, LLC | Clinic/Center | 6460 Spalding Drive, Suite C, Peachtree Corners, GA 30092 | 2019-03-08 |
| 1043794472 | Cai Hong Senior Services Inc | Clinic/Center | 4093 Spalding Hollow, Peatree Corners, GA 30092 | 2018-09-21 |
| 1952810566 | Children In Motion Therapy Services LLC | Occupational Therapist | 5655 Peachtree Pkwy Ste 117, Norcross, GA 30092 | 2017-09-26 |
| 1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
| 1346769593 | Global Diagnostic Labs, LLC | Pathology | 3240 Pointe Pkwy Ste 200, Norcross, GA 30092 | 2017-09-19 |
| 1467993345 | Boris Mcguire Day | Counselor | 3597 Monticello Commons, Norcross, GA 30092 | 2017-03-13 |
| 1598205239 | Iwc East LLC | Internal Medicine | 40 Technology Parkway, #300, Norcross, GA 30092 | 2017-02-28 |
| 1851744254 | Lms Surgical Services | Specialist/Technologist, Other | 6050 Peachtree Pkwy Suite240-358, Norcross, GA 30092 | 2016-07-20 |
| 1881085603 | A Hand To Hold | Home Health | 3459 Holcomb Bridge Rd., Suite 100, Peachtree Corners, GA 30092 | 2015-02-16 |
| 1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
| Find all providers in zip 30092 | ||||
| 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 |
|---|---|---|---|---|
| 1659511079 | Dunwoody Psychology, Inc. | Psychologist | 3790 Holcomb Bridge Rd., Suite 201, Norcross, GA 30092 | 2009-02-25 |
| 1578774063 | Marcelo Delaserna | Psychologist | 5272 Amhurst Dr, Norcross, GA 30092-1620 | 2007-05-25 |
| 1942419262 | Lionel Rood | Psychologist | 4056 Wetherburn Way, Suite 8, Norcross, GA 30092 | 2007-05-22 |
| 1598887820 | David M Triemer | Psychologist | 3949 Holcomb Bridge Rd Ste 200, Norcross, GA 30092-2208 | 2007-04-06 |
| 1063482263 | Steven Kovner | Psychologist | 3790 Holcomb Bridge Rd, Suite 201, Norcross, GA 30092-4801 | 2006-01-23 |
| 1841555133 | Karl James Straub | Psychologist | 1770 Indian Trail Rd, Suite 140, Norcross, GA 30093-2645 | 2012-07-12 |
| 1396076972 | Matthew D Turner | Psychologist | 3949 Holcomb Bridge Rd, Suite 202, Norcross, GA 30092-2294 | 2010-01-21 |
| 1831376490 | Craig I Rich | Psychologist | 3949 Holcomb Bridge Rd, Suite 200, Norcross, GA 30092-2294 | 2008-01-25 |
| 1184839193 | Malcolm Edgar Anderson | Psychologist | 3355 Medlock Bridge Rd, Norcross, GA 30092-3009 | 2007-05-12 |
| 1962617183 | Stephanie Leedy-ellis, Ph.d., LLC | Psychologist | 3949 Holcomb Bridge Rd, Suite 200, Norcross, GA 30092-2207 | 2007-05-11 |
| Find all providers in NORCROSS | ||||
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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.