ADVANCING YOUTH'S ACADEMY, INC (NPI# 1588914824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588914824 |
| Entity Type | Organization |
| Organization Name | ADVANCING YOUTH'S ACADEMY, INC |
| Other Organization Name | ALTERNATIVE YOUTH ACADEMY, INC |
| Practice Address |
2662 Holcomb Bridge Rd Suites 340, 328, 330 Alpharetta GA 30022-6819 |
| Practice Telephone | 7706500000 |
| Practice Fax Number | 7706500002 |
| Mailing Telephone | 7706500000 |
| Mailing Fax Number | 7706500002 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2015-07-22 |
| Authorized Official Name | DR. ROMMYS ALEMANIA BELTRAN (CEO) |
| Authorized Official Telephone | 7706500000 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 125325 | GA | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | APC002972 | GA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
APC002972 | GA | Behavioral Health & Social Service Providers |
| N | 247200000X | Technician, Other | GA | Technologists, Technicians & Other Technical Service Providers | |
| N | 235Z00000X | Speech-Language Pathologist | GA | Speech, Language and Hearing Service Providers | |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
125325 | GA | Behavioral Health & Social Service Providers |
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
GA | Behavioral Health & Social Service Providers | |
| N | 103TF0000X |
Psychologist Specialization: Family |
GA | Behavioral Health & Social Service Providers | |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
GA | Behavioral Health & Social Service Providers | |
| N | 101YS0200X |
Counselor Specialization: School |
GA | Behavioral Health & Social Service Providers | |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
GA | Behavioral Health & Social Service Providers | |
| N | 101YP1600X |
Counselor Specialization: Pastoral |
GA | Behavioral Health & Social Service Providers | |
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CAQH | 12471665 | 01 |
| Other Name | Type Code |
|---|---|
| Alternative Youth Academy, Inc | Former Legal Business Name - Organization |
| Street Address |
2662 HOLCOMB BRIDGE RD SUITES 340, 328, 330 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30022-6819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063766467 | Rommys Alemania Beltran | Psychologist | 2662 Holcomb Bridge Rd, Suite 340, Alpharetta, GA 30022-6819 | 2012-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| Find all providers in zip 30022 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063766467 | Rommys Alemania Beltran | Psychologist | 2662 Holcomb Bridge Rd, Suite 340, Alpharetta, GA 30022-6819 | 2012-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932720489 | Avs Consulting | Psychologist | 4015 S Cobb Dr Se Ste 265, Smyrna, GA 30080-6374 | 2020-05-06 |
| 1356492037 | James Edwin Stark | Psychologist | 1755 The Exchange Se, Suite 375, Atlanta, GA 30339-7400 | 2007-01-16 |
| 1639564271 | Colbi Sutton | Psychologist | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2015-03-31 |
| 1487059580 | Neurobehavioral Associates LLC | Psychologist | 639 13th St, Augusta, GA 30901-1007 | 2014-10-31 |
| 1245476639 | Marc David Einhorn | Psychologist | 11755 Pointe Pl, Roswell, GA 30076-4656 | 2009-01-06 |
| 1922266014 | Southern Psychological Services | Psychologist | 1213 E Jackson St, Thomasville, GA 31792-4748 | 2008-05-27 |
| 1609943240 | Kelly Leanne Farris | Psychologist | 3000 Schatulga Rd, Bldg. 5, Columbus, GA 31907-3117 | 2006-11-29 |
| 1629039813 | Dennis L Herendeen | Psychologist | 6130 Prestley Mill Rd, Suite A, Douglasville, GA 30134-2288 | 2006-03-29 |
| City | ALPHARETTA |
| Zip Code | 30022 |
Please comment or provide details below to improve the information on ADVANCING YOUTH'S ACADEMY, INC.
| 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.