JACQUELINE ROYAL-BRYANT (NPI# 1720138050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720138050 |
| Entity Type | Individual |
| Full Name | JACQUELINE ROYAL-BRYANT |
| Credential | PH.D. |
| Practice Address |
4151 Memorial Dr # 104a Decatur GA 30032-1504 |
| Practice Telephone | 6782832883 |
| Practice Fax Number | 8669362296 |
| Mailing Telephone | 6782832883 |
| Mailing Fax Number | 8669362296 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
01745 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00558797C | 05 |
| Street Address |
4151 MEMORIAL DR # 104A |
| City | DECATUR |
| State | GA |
| Zip Code | 30032-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028078 | Anchor Home Healthcare Services, Inc. | Community/Behavioral Health | 3717 Elkridge Drive, Decatur, GA 30032 | 2020-03-19 |
| 1578959201 | Trusted Nurses | Nursing Care | 1959 Barberrie Ln, Decatur, GA 30032 | 2015-04-09 |
| 1225436751 | God's Helper's Private Home Care, LLC | In Home Supportive Care | 1916 Willa Dr, Decatur, GA 30032 | 2014-12-16 |
| 1366878712 | Teresa A Johnson | Counselor | 1585 Cobbs Creek Lane, Decatur, GA 30032 | 2013-09-17 |
| 1629213590 | Curlen L Baird-scott | Registered Nurse | Child and Adolescent Stabilization Unit, 2591 Candler Road, Decatur, GA 30032 | 2008-12-08 |
| 1659527919 | Louis Aaron Calderon | Psychiatry & Neurology | 3408 Covington Highway, Georgia Department of Juvenile Justice, Decatur, GA 30032 | 2008-08-18 |
| 1932387982 | Turning Point Behavioral Health and Wellness Center | Community/Behavioral Health | 4292 Memorial Drive Suite C, Decatur, GA 30032 | 2008-02-01 |
| 1528190865 | Jennifer Weeks Kaufman | Speech-Language Pathologist | 1441 Clifton Road Ne, Atlanta, GA 30032 | 2007-03-12 |
| 1093847147 | Mary Sprague | Speech-Language Pathologist | 1441 Clifton Road North East, Atlanta, GA 30032 | 2007-03-12 |
| 1356479976 | Julie Witten | Speech-Language Pathologist | 1441 Clifton Road, N.e., Atlanta, GA 30032 | 2007-03-02 |
| Find all providers in zip 30032 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280709 | Imani Psychological Services, Inc | Psychologist | 315 W Ponce De Leon Ave Ste 725, Decatur, GA 30030-2464 | 2019-11-20 |
| 1326513102 | Brittany Denise Baker | Psychologist | 1670 Clairmont Rd Rm 3b250, Decatur, GA 30033-4004 | 2018-10-09 |
| 1194228460 | Amy Elizabeth Wingard | Psychologist | 2366 Harrington Dr, Decatur, GA 30033-4902 | 2018-03-13 |
| 1386016301 | Christopher Awosika | Psychologist | 2848 Vining Ridge Ter, Decatur, GA 30034-7500 | 2015-10-29 |
| 1477976173 | Rhea Gordon Phd LLC | Psychologist | 1439 Mclendon Drive, Decatur, GA 30033-1841 | 2014-01-31 |
| 1093054413 | Life Center Counseling and Resources | Psychologist | 1 W Court Sq, Suite 750, Decatur, GA 30030-2538 | 2013-02-05 |
| 1376896696 | Delia L Lang | Psychologist | 2440 Lawrenceville Hwy Ste 200, Decatur, GA 30033-3267 | 2012-10-24 |
| 1407105703 | Virginia L Goetsch, Ph.d., LLC | Psychologist | 775 Commerce Dr, Suite 903, Decatur, GA 30030-2620 | 2012-08-31 |
| 1801022413 | Lisa Clark Enterprises, Inc | Psychologist | 2785 Lawrenceville Hwy Ste 207, Decatur, GA 30033-2515 | 2009-06-09 |
| 1114196912 | Ausborn Behavioral Care, P.C. | Psychologist | 1456 Mclendon Dr Ste B, Decatur, GA 30033-1848 | 2008-02-26 |
| Find all providers in DECATUR | ||||
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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.