DR. ALISA J MANULKIN (NPI# 1548298755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548298755 |
| Entity Type | Individual |
| Full Name | DR. ALISA J MANULKIN |
| Credential | PHD |
| Practice Address |
980 Hammond Dr Ne Suite 100 Atlanta GA 30328-6161 |
| Practice Telephone | 7704071022 |
| Practice Fax Number | 7706710476 |
| Mailing Telephone | 7704071022 |
| Mailing Fax Number | 7706710476 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY5370 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 7635907-00 | 05 |
| Street Address |
980 HAMMOND DR NE SUITE 100 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-6161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447542691 | Erin Marie Jones | Psychologist | 1256 Briarcliff Rd Ne Ste 322e, Atlanta, GA 30306-2636 | 2011-05-06 |
| 1053567420 | Ashley Anne Loyd | Psychologist | 3005 Riverstone Trl, Atlanta, GA 30339-8463 | 2008-08-17 |
| 1720272966 | Janet Klebek Patton | Psychologist | 140 Decatur St Se, Suite 1056, Atlanta, GA 30303-3204 | 2007-08-30 |
| 1700087541 | Caroline L Sherrill Phd PC | Psychologist | 6000 Lake Forrest Drive, Suite 103, Atlanta, GA 30328 | 2007-05-30 |
| 1922156074 | Carol Ann Matheson | Psychologist | 2970 Peachtree Rd Nw Ste 110, Atlanta, GA 30305-2110 | 2007-01-08 |
| 1689739948 | Penny A. Hays | Psychologist | 3178 Bolero Way, Atlanta, GA 30341-5762 | 2006-12-27 |
| 1114546017 | Joya N Hampton-anderson | Psychologist | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2020-04-10 |
| 1629557145 | Kaitlin Baker Proctor | Psychologist | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2018-08-07 |
| 1518497577 | Naadira Christine Upshaw | Psychologist | 1405 Clifton Rd Ne, Atlanta, GA 30322-1832 | 2017-06-13 |
| 1477009462 | Anna Monica Agoston | Psychologist | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2016-08-30 |
| 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.