CHRISTINE GHILAIN (NPI# 1578049656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578049656 |
| Entity Type | Individual |
| Full Name | CHRISTINE GHILAIN |
| Credential | PHD |
| Practice Address |
3939 Roswell Rd Marietta GA 30062-6251 |
| Practice Telephone | 7705146760 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY004191 | GA | Behavioral Health & Social Service Providers |
| Street Address |
3939 ROSWELL RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-6251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346242229 | Susan Gail Staviss | Pediatrics | 3939 Roswell Rd, Suite 300, Marietta, GA 30062-6251 | 2005-08-11 |
| 1841722212 | Southeast Integrative Medicine | Naturopath | 3939 Roswell Rd, Suite 240, Marietta, GA 30062-6251 | 2017-04-03 |
| 1780924043 | Wellstar Medical Group, LLC | Pediatrics | 3939 Roswell Rd, Suite 300, Marietta, GA 30062-6251 | 2013-02-25 |
| 1275814964 | Wellstar Medical Group, LLC | Family Medicine | 3939 Roswell Rd, Suite 240, Marietta, GA 30062-6251 | 2011-09-08 |
| 1124251590 | Tanya Theriot, Psy.d., P.C. | Psychologist | 3939 Roswell Rd, Suite 185, Marietta, GA 30062-6251 | 2009-09-01 |
| 1952464505 | Marietta Eye Optical Inc | Durable Medical Equipment & Medical Supplies | 3939 Roswell Rd, Suite 100, Marietta, GA 30062-6251 | 2006-12-18 |
| 1689736860 | Marietta Eye Clinic, Pa | Optometrist | 3939 Roswell Rd, Suite 100, Marietta, GA 30062 | 2006-12-14 |
| 1992866818 | Robin Lisa King | Social Worker | 3939 Roswell Rd, Suite 185, Marietta, GA 30062-6251 | 2006-12-13 |
| 1851468078 | Parkway Therapy Services, Inc. Dba East Cobb Physical Therapy | Physical Therapist | 3939 Roswell Rd, Suite 160, Marietta, GA 30062-6251 | 2006-11-30 |
| 1700958394 | Sona P Amin | Internal Medicine | 3939 Roswell Rd, Suite 110, Marietta, GA 30062-6251 | 2006-11-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
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| 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 |
|---|---|---|---|---|
| 1003877671 | Dennis Bruce Lindenbaum | Clinical Neuropsychologist | 789 Fox Hollow Pkwy, Marietta, GA 30068-2406 | 2006-03-31 |
| 1235796319 | Brian Joseph Wilehlm | Clinical Neuropsychologist | 2855 Julias Way Nw, Marietta, GA 30064-6219 | 2019-05-23 |
| 1720515042 | Stephanie L Salinas | Clinical Neuropsychologist | 3939 Roswell Rd Ste 200, Marietta, GA 30062-6285 | 2017-05-17 |
| 1427591692 | Jessica H. Robbins | Clinical Neuropsychologist | 100 Lacy St Nw Ste 150, Marietta, GA 30060-1273 | 2016-11-21 |
| 1114397585 | Kirk Bryant | Clinical Neuropsychologist | 3939 Roswell Rd Ste 200, Marietta, GA 30062-6285 | 2015-09-29 |
| 1447501069 | Jonathan Noel Dodd | Clinical Neuropsychologist | 55 Whitcher St Ne Ste 420, Marietta, GA 30060 | 2012-09-21 |
| 1083880744 | Wellstar Neuropsychology, LLC | Clinical Neuropsychologist | 677 Church St Ne, Marietta, GA 30060-1101 | 2008-05-02 |
| 1285787275 | Connie Dessonville Hill | Clinical Neuropsychologist | 125 Church St Ne, Suite 210, Marietta, GA 30060-8638 | 2007-01-21 |
| 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 |
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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.