DR. ALEXIS CONSTANTIN PAVLOV


Address: 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010
Phone: 4047854456

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
PSY004364 GA Behavioral Health & Social Service Providers

Office Location

Street Address 1920 BRIARCLIFF RD NE
City ATLANTA
State GA
Zip Code 30329-4010

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

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
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Competitor

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City ATLANTA
Zip Code 30329

Improve Information

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Dataset Information

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.

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