DR. SUSAN LESLIE MAYO (NPI# 1588676654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588676654 |
| Entity Type | Individual |
| Full Name | DR. SUSAN LESLIE MAYO |
| Other Name | MS. SUSAN MAYO CARVER |
| Credential | PH.D. |
| Practice Address |
1640 Powers Ferry Rd Se Bldg. 17, Ste. 350 Marietta GA 30067-5491 |
| Practice Telephone | 7709569212 |
| Practice Fax Number | 7709569211 |
| Mailing Telephone | 7709569212 |
| Mailing Fax Number | 7709569211 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2013-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
1582 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619283447 | Susan Mayo | Social Worker | 131 Maple Row Blvd, Hendersonville, TN 37075-3880 | 2010-08-31 |
| 1386696185 | Susan Mayo | Internal Medicine | 2230 Lynn Rd Ste 200, Thousand Oaks, CA 91360-1900 | 2006-05-17 |
| 1770933954 | Susan Mayo | Developmental Therapist | 14615 W Fox Creek Ct, Brimfield, IL 61517-9529 | 2016-06-17 |
| 1073842811 | Susan Mayo | Physical Therapist | 901 N Curtis Rd, Boise, ID 83706-1338 | 2009-12-07 |
| Street Address |
1640 POWERS FERRY RD SE BLDG. 17, STE. 350 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-5491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205887437 | The Anxiety & Stress Management Institute | Counselor | 1640 Powers Ferry Rd Se, Building 9, Suite 100, Marietta, GA 30067-5491 | 2006-05-12 |
| 1235740622 | Taivia Nicosi Thompson | Counselor | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2020-08-11 |
| 1356965271 | Julie Stofko | Licensed Practical Nurse | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2020-06-05 |
| 1265068068 | Tori Jade Emerick | Counselor | 1640 Powers Ferry Rd Se, Building 5, Suite 110, Marietta, GA 30067 | 2020-03-12 |
| 1730713645 | Vera Melinda Shook | Licensed Practical Nurse | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2020-02-29 |
| 1720622418 | William Joseph Colombo | Counselor | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2019-11-05 |
| 1184277923 | Irvin Harley Kooris | Counselor | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2019-07-22 |
| 1194299933 | Jennifer Carlson | Counselor | 1640 Powers Ferry Rd Se, Building 2 Ste 150, Marietta, GA 30067 | 2019-01-15 |
| 1467939405 | Martha Williamson Munford | Counselor | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2018-07-23 |
| 1235639535 | Korinne Liana Edwards | Registered Nurse | 1640 Powers Ferry Rd Se, Building 9, Ste 330, Marietta, GA 30067 | 2018-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100024 | Life Skills Community Center Inc | Psychologist | 2440 Sandy Plains Rd Ste 300, Marietta, GA 30066-7217 | 2020-09-30 |
| 1376173658 | Marcuetta D. Sims | Psychologist | 2436 Wood Meadows Dr Sw, Marietta, GA 30064-4471 | 2020-01-25 |
| 1043740772 | John Acomb | Psychologist | 4743 Carmichael Chase Ne, Marietta, GA 30066-1473 | 2017-06-15 |
| 1679857171 | Michael Jay Manalo | Psychologist | 45 South Ave Se, Ste 100, Marietta, GA 30060-2539 | 2011-10-03 |
| 1447303524 | Sheri Michelle Siegel | Psychologist | 125 Church St Ne, Suite 210, Marietta, GA 30060-8638 | 2007-01-19 |
| 1699859876 | Nancy Ellen Reigle | Psychologist | 2627 Sandy Plains Rd, Suite 101, Marietta, GA 30066-4269 | 2006-10-25 |
| 1639264120 | Linda Pak Bruner | Psychologist | 1640 Powers Ferry Road Se, Building 9, Suite 100, The Anxiety & Stress Management Institute, Marietta, GA 30067-5491 | 2006-10-03 |
| 1306134564 | Tonette Robinson | Psychologist | 55 Whitcher St Ne Ste 420, Marietta, GA 30060-1171 | 2011-07-20 |
| 1710034723 | Christine K Beard | Psychologist | 2655 Dallas Hwy Sw, Suite 230, Marietta, GA 30064-2597 | 2007-01-04 |
| 1487742052 | Rebecca Andrea Beaton | Psychologist | 1640 Powers Ferry Rd Se, Building 9, Suite 100, Marietta, GA 30067-5491 | 2006-10-10 |
| Find all providers in MARIETTA | ||||
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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.