DR. MICHELE JEAN RUSIN


Address: 1276 Mcconnell Drive, Suite C, Decatur, GA 30033-3506
Phone: 4049299009

DR. MICHELE JEAN RUSIN (NPI# 1649349689) 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) 1649349689
Entity Type Individual
Full Name DR. MICHELE JEAN RUSIN
Credential PH.D., ABPP
Practice Address 1276 Mcconnell Drive
Suite C
Decatur
GA 30033-3506
Mailing Address Po Box 133207
Atlanta
GA 30333-3207
Practice Telephone 4049299009
Practice Fax Number 4049299005
Mailing Telephone 4049299009
Mailing Fax Number 4049299005
Enumeration Date 2006-11-06
Last Update Date 2012-01-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TR0400X Psychologist
Specialization: Rehabilitation
01078 GA Behavioral Health & Social Service Providers

Office Location

Street Address 1276 MCCONNELL DRIVE
SUITE C
City DECATUR
State GA
Zip Code 30033-3506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093858854 John R Sass Clinical Neuropsychologist 1276 Mcconnell Drive, Suite C, Decatur, GA 30033-3506 2007-02-14

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1194389353 Katherine Serafen Physician Assistant 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 2019-04-23
1194290973 Suzanne Johnson Psychologist Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 2018-10-09
1245705334 Mcleod Counseling Services, LLC Clinic/Center 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 2018-10-04
1225514797 Erkin Mirkhatovich Turganov Pharmacist 2951 Cedar Brook Dr, Decatur, GA 30033 2018-07-17
1356834972 Sharlencia Lord Nurse Practitioner 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 2018-06-08
1194213140 Zacarias Yanis Jr. Clinical Neuropsychologist 1276 Mcconnell Drive Ste C., Decatur, GA 30033 2018-04-25
1780181370 Ryan Patton Orthopaedic Surgery 2723 Hollywood Dr, Decatur, GA 30033 2018-04-10
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Taxonomy Information

Taxonomy Code 103TR0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902370299 Julie Ann Marsh Psychologist 7120 W. William St., Decatur, IL 62522 2019-01-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457758229 Kirsten Allen Psychologist 80 Peachtree Park Dr Ne, Atlanta, GA 30309-1304 2014-11-22
1396924692 Michele J. Rusin, Ph.d PC Psychologist 1776 Briarcliff Rd Ne, Atlanta, GA 30306-2106 2007-11-02
1124065818 Anna B Moore Psychologist 1441 Clifton Rd Ne, Atlanta, GA 30322-1004 2006-06-01
1073646766 Gateway Behavioral Health Services Psychologist 275 First Street Extention, Springfield, GA 31329 2007-03-13

Competitor

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City DECATUR
Zip Code 30033

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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