DR. ALEXIS CONSTANTIN PAVLOV (NPI# 1609408418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609408418 |
Entity Type | Individual |
Full Name | DR. ALEXIS CONSTANTIN PAVLOV |
Credential | PHD, BCBA-D |
Practice Address |
1920 Briarcliff Rd Ne Atlanta GA 30329-4010 |
Practice Telephone | 4047854456 |
Mailing Telephone | 4047854456 |
Enumeration Date | 2020-02-10 |
Last Update Date | 2020-02-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY004364 | GA | Behavioral Health & Social Service Providers |
Street Address |
1920 BRIARCLIFF RD NE |
City | ATLANTA |
State | GA |
Zip Code | 30329-4010 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326091216 | Amy Lee Talboy | Pediatrics | 1920 Briarcliff Rd Ne, Atlanta, GA 30329 | 2006-05-19 |
1811503881 | Addam Joseph Wawrzonek | Psychologist | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2020-09-16 |
1942834700 | Corinne Rose Jacobs | Nutritionist | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2020-03-02 |
1750935631 | Emily Murphy Jenkins | Behavioral Analyst | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2019-07-29 |
1649832874 | Nicole Hendrix | Psychologist | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2019-07-09 |
1619439478 | Jenna Bass | Behavioral Analyst | 1920 Briarcliff Rd Ne, Atlanta, GA 30329 | 2019-04-02 |
1659855765 | Lydia Delbridge White | Dietitian, Registered | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2018-09-25 |
1629557145 | Kaitlin Baker Proctor | Psychologist | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2018-08-07 |
1598252264 | Alyssa Caitlin Desai | Behavioral Analyst | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2018-04-18 |
1366939241 | Kristina Gerencser | Behavioral Analyst | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2018-04-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
Find all providers in zip 30329 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720483340 | Jessica Haley Geddes | Psychologist | 595 Wimbledon Rd Ne, Atlanta, GA 30324-4965 | 2014-10-24 |
1033394820 | Mark Gilson Phd PC | Psychologist | 1772 Century Boulevard, Ne, Atlanta, GA 30345-3396 | 2007-12-31 |
1316159569 | Paul Lavere Fair | Psychologist | 3580 Piedmont Road, Suite 220, Atlanta, GA 30305-1506 | 2007-05-03 |
1629290366 | Alexandra Mena Phipps | Psychologist | 2312 Peachford Rd Ste C, Atlanta, GA 30338-5823 | 2007-05-03 |
1083837827 | Jeri Breiner | Psychologist | 6075 Roswell Rd Ne, Suite 400, Atlanta, GA 30328-4008 | 2007-04-10 |
1790854222 | The Bridges Center | Psychologist | 3855 Presidential Pkwy, Atlanta, GA 30340-3705 | 2006-11-07 |
1578591863 | Pamela L. Jenkins | Psychologist | 191 Peachtree St Ne, Atlanta, GA 30303-1740 | 2006-06-28 |
1376903849 | Loren Post | Psychologist | 12 Executive Park Dr Ne, 3rd Floor, Atlanta, GA 30329-2206 | 2016-02-26 |
1578860854 | Linda J. Klaitz Ed.d. PC | Psychologist | 300 W Wieuca Rd Ne, Bld.2 Suite 200, Atlanta, GA 30342-3352 | 2011-02-22 |
1194029330 | Lindsey L Cohen | Psychologist | 675 Seminole Ave Ne, Suite 107, Atlanta, GA 30307-3408 | 2011-01-03 |
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.