SUSAN BRUDER MATTSON (NPI# 1457493991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457493991 |
| Entity Type | Individual |
| Full Name | SUSAN BRUDER MATTSON |
| Credential | PHD |
| Practice Address |
11285 Elkins Rd Ste D4 Roswell GA 30076 |
| Practice Telephone | 7705210511 |
| Practice Fax Number | 7705210512 |
| Mailing Telephone | 7705210511 |
| Mailing Fax Number | 7705210512 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY002322 | GA | Behavioral Health & Social Service Providers |
| Street Address |
11285 ELKINS RD STE D4 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124008925 | Casey P. Calvert | Counselor | 11285 Elkins Rd, D-3, Roswell, GA 30076-1259 | 2006-01-18 |
| 1457909517 | Lindsay Wynett | Speech-Language Pathologist | 11285 Elkins Rd, Roswell, GA 30076-1259 | 2019-08-30 |
| 1134406549 | Deborah Lynch Cagle | Counselor | 11285 Elkins Rd, Suite D3, Roswell, GA 30076-1259 | 2011-11-14 |
| 1588836852 | Suzanne Clark | Counselor | 11285 Elkins Rd, D-4, Roswell, GA 30076-1259 | 2008-03-27 |
| 1558568576 | Kathleen D Michaud | Marriage & Family Therapist | 11285 Elkins Rd, D-4, Roswell, GA 30076-1259 | 2007-07-02 |
| 1780880690 | Annalisa Derenthal | Counselor | 11285 Elkins Rd, D-4, Roswell, GA 30076-1259 | 2007-06-26 |
| 1326261645 | Marina Renee Rutkowski | Social Worker | 11285 Elkins Rd, Suite D3, Roswell, GA 30076-1259 | 2007-04-11 |
| 1699813055 | Michael R Pitts | Psychologist | 11285 Elkins Rd, Suite D3, Roswell, GA 30076-1259 | 2007-02-01 |
| 1104999713 | Aleta Janine Braykovich | Social Worker | 11285 Elkins Rd, Suite D-4, Roswell, GA 30076-1259 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619485943 | Lisa Hahamovitch Meyer | Psychologist | 1100 Rome Dr, Roswell, GA 30075-2483 | 2018-01-22 |
| 1437595014 | Christine Mcginnis | Psychologist | 88 Sloan St, Suite A, Roswell, GA 30075-4946 | 2013-05-22 |
| 1659589349 | Harold David Quillian | Psychologist | 1175 Canton St, Suite Two, Roswell, GA 30075-3616 | 2007-05-18 |
| 1427277441 | Joanna W. Grisham | Psychologist | 1180 Grimes Bridge Rd, #400, Roswell, GA 30075-3986 | 2007-04-25 |
| 1124143763 | Michael Pitts, Psy.d., P.C. | Psychologist | 70 Mansell Ct, Suite 100, Roswell, GA 30076-1523 | 2007-03-20 |
| 1912042680 | Ann Elizabeth Mcneer | Psychologist | 1150 Upper Hembree Rd, Suite B, Roswell, GA 30076-1142 | 2007-02-21 |
| 1972648053 | North River Psychological Associates | Psychologist | 11205 Alpharetta Hwy., Ste. A-4, Roswell, GA 30076 | 2007-02-20 |
| 1679639249 | Harriet A Brodsky | Psychologist | 12 Norcross St, Suite 205, Roswell, GA 30075-7409 | 2006-12-28 |
| 1316010077 | Ralph Dewey Boynton | Psychologist | 1115 Upper Hembree Rd, Suite B, Roswell, GA 30076 | 2006-11-17 |
| 1235202276 | Leslie Kim Doehring | Psychologist | 580 West Crossville Road, Suite 201, Roswell, GA 30075-2506 | 2006-11-16 |
| Find all providers in ROSWELL | ||||
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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.