R MICHAEL PRUDENT LLC (NPI# 1720318306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720318306 |
| Entity Type | Organization |
| Organization Name | R MICHAEL PRUDENT LLC |
| Practice Address |
675 Seminole Ave Ne Suite 305 Atlanta GA 30307-3408 |
| Practice Telephone | 4046853113 |
| Practice Fax Number | 4046014494 |
| Mailing Telephone | 4046853113 |
| Mailing Fax Number | 4046014494 |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |
| Authorized Official Name | DR. ROBERT MICHAEL PRUDENT (OWNER) |
| Authorized Official Telephone | 4046853113 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
037340 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
675 SEMINOLE AVE NE SUITE 305 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30307-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184602559 | Leslye Pryor | Speech-Language Pathologist | 675 Seminole Ave Ne, Suite T05, Atlanta, GA 30307-3408 | 2006-01-05 |
| 1649724170 | Sadie Forysthe | Social Worker | 675 Seminole Ave Ne, Ste 210, Atlanta, GA 30307-3408 | 2016-08-12 |
| 1861841744 | Intown Atlanta Psychiatry | Nurse Practitioner | 675 Seminole Ave Ne, Suite 111, Atlanta, GA 30307-3408 | 2016-06-10 |
| 1033578034 | The Birdnest Family Services, LLC | Social Worker | 675 Seminole Ave Ne, Unit T-03, Atlanta, GA 30307-3408 | 2016-02-18 |
| 1508222795 | Colleen Stewart | Counselor | 675 Seminole Ave Ne, Suite 107, Atlanta, GA 30307-3408 | 2016-01-05 |
| 1477924074 | Michelle Hession | Social Worker | 675 Seminole Ave Ne, Suite 111, Atlanta, GA 30307-3408 | 2015-10-08 |
| 1457743874 | Treehousedreams LLC | Social Worker | 675 Seminole Ave Ne, Suite 307, Atlanta, GA 30307-3408 | 2015-02-22 |
| 1184013195 | Mr Ray LLC | Counselor | 675 Seminole Ave Ne, Suite 307, Atlanta, GA 30307-3408 | 2015-01-14 |
| 1750781340 | Dermyne & Dwyer LLC | Student in an Organized Health Care Education/Training Program | 675 Seminole Ave Ne, Suite 307, Atlanta, GA 30307-3408 | 2014-09-02 |
| 1740628908 | Intown Atlanta Psychiatry | Nurse Practitioner | 675 Seminole Ave Ne, Suite 111, Atlanta, GA 30307-3408 | 2013-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716774 | Shannon Busby Bagga | Dietitian, Registered | 1806 Dekalb Ave Ne, Atlanta, GA 30307 | 2020-10-06 |
| 1366062846 | Key Counseling Group, LLC | Social Worker | 675 Seminole Ave. Ne, Ste. 111, Atlanta, GA 30307 | 2020-04-24 |
| 1730683749 | Kristina Joy Betz | Pediatrics | 2105 Uppergate Drive, Atlanta, GA 30307 | 2018-03-23 |
| 1336658558 | Erin Asteghene | Specialist/Technologist | 1509 South Ponce De Leon Ave., Atlanta, GA 30307 | 2017-09-20 |
| 1689196446 | Sera Kim | Student in an Organized Health Care Education/Training Program | 1648 Pierce Drive Ne, Atlanta, GA 30307 | 2017-07-13 |
| 1164974168 | Megan Elizabeth Tarshis | Social Worker | 675 Seminole Ave., Suite 210, Atlanta, GA 30307 | 2016-10-26 |
| 1255703880 | Jennifer Browning Eastman | Speech-Language Pathologist | 1053 Oakdale Road, Atlanta, GA 30307 | 2015-10-22 |
| 1639566714 | Amit Shah | Student in an Organized Health Care Education/Training Program | 1648 Pierce Drive, Atlanta, GA 30307 | 2015-04-16 |
| 1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
| 1942568803 | Sarah Coyle Burke | Anesthesiology | 870 Inman Village Pkwy Ne, #305, Atlanta, GA 30307 | 2012-04-30 |
| Find all providers in zip 30307 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285264770 | Holistic Family Psychiatry | Psychiatry & Neurology | 1535 Mount Vernon Rd Ste 100-a, Atlanta, GA 30338-4149 | 2020-01-23 |
| 1356803985 | Magnolia Med Management, LLC | Psychiatry & Neurology | 2295 Parklake Dr Ne Ste 552, Atlanta, GA 30345-2844 | 2019-04-02 |
| 1114372455 | Jessica Chang | Psychiatry & Neurology | 12 Executive Park Dr Ne # 200, Atlanta, GA 30329-2206 | 2016-04-23 |
| 1275997843 | Carolina Ribeiro | Psychiatry & Neurology | 12 Executive Park Dr Ne Ste 142, Atlanta, GA 30329-2206 | 2016-04-11 |
| 1427412139 | Diana Woodall | Psychiatry & Neurology | 1700 Northside Dr Nw Ste A7, Atlanta, GA 30318-2695 | 2016-04-08 |
| 1962899500 | Amitha Dhingra | Psychiatry & Neurology | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2015-04-21 |
| 1104232008 | John Cook Bartlett | Psychiatry & Neurology | 187 12th St Ne, Atlanta, GA 30309-4055 | 2014-07-11 |
| 1902229701 | Lawrence David Baker | Psychiatry & Neurology | 2950 Mount Wilkinson Pkwy Se Unit 613, Atlanta, GA 30339-3655 | 2014-01-29 |
| 1326482241 | Milena Hirata Armani | Psychiatry & Neurology | 12 Executive Park Dr Ne Ste 200, Atlanta, GA 30329 | 2013-04-22 |
| 1285976928 | R Matthew Kamins | Psychiatry & Neurology | 2480 Briarcliff Rd Ne, Suite 6-233, Atlanta, GA 30329-3034 | 2013-03-20 |
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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.