DR. ALEXANDRA MENA PHIPPS (NPI# 1629290366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629290366 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDRA MENA PHIPPS |
| Credential | PH.D. |
| Practice Address |
2312 Peachford Rd Ste C Atlanta GA 30338-5823 |
| Mailing Address |
3518 Parsons Ridge Ln Duluth GA 30097-5110 |
| Practice Telephone | 7704515912 |
| Practice Fax Number | 7704573046 |
| Mailing Telephone | 7704181529 |
| Mailing Fax Number | 7704181529 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY001958 | GA | Behavioral Health & Social Service Providers |
| Street Address |
2312 PEACHFORD RD STE C |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-5823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| 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 |
| 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 |
| 1609408418 | Alexis Constantin Pavlov | Psychologist | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2020-02-10 |
| 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 | ||||
Please comment or provide details below to improve the information on DR. ALEXANDRA MENA PHIPPS.
| 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.