DR. SUSAN MASSEY-CONNOLLY (NPI# 1720451214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720451214 |
| Entity Type | Individual |
| Full Name | DR. SUSAN MASSEY-CONNOLLY |
| Credential | PSY.D. |
| Practice Address |
140 Decatur St The Urban Life Building 10th Floor Suite 1053 Atlanta GA 30302-3995 |
| Mailing Address |
Po Box 3995 Atlanta GA 30302-3995 |
| Practice Telephone | 4044136245 |
| Practice Fax Number | 4044136130 |
| Mailing Telephone | 4044136245 |
| Mailing Fax Number | 4044136130 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 3832 | GA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 3832 | GA | Behavioral Health & Social Service Providers |
| Street Address |
140 DECATUR ST THE URBAN LIFE BUILDING 10TH FLOOR SUITE 1053 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30302-3995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508981614 | Mary Kathleen Morris | Clinical Neuropsychologist | 140 Decatur St, Suite 1053, Atlanta, GA 30303 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861607293 | Julie Ann Jefferson | Physical Therapist | 140 Decatur Street, Physical Therapy Department, Atlanta, GA 30302 | 2007-05-11 |
| 1700946043 | Kasinda Lee Hodge | Specialist/Technologist | 125 Decatur Street Se, Second Floor, Atlanta, GA 30302-2905 | 2006-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841038 | Kathryn Louis | Doula | 301 Atlanta Ave Se Apt 5, Atlanta, GA 30315-2037 | 2020-11-08 |
| 1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
| 1902407752 | Neighbormd of Atlanta LLC | Internal Medicine | 285 Boulevard Ne Ste 435&436, Atlanta, GA 30312-4205 | 2020-11-06 |
| 1053912907 | Neighbormd of North Atlanta LLC | Internal Medicine | 1800 Peachtree St Nw Ste 730nw, Atlanta, GA 30309-2519 | 2020-11-06 |
| 1285235036 | Neighbormd of South Atlanta LLC | Internal Medicine | 3885 Princeton Lakes Way Sw Ste 412, Atlanta, GA 30331-5599 | 2020-11-06 |
| 1073114286 | Sadiecare Health Services Incorporated | Home Health | 483 Holderness St Sw Unit B, Atlanta, GA 30310-1748 | 2020-11-04 |
| 1588265839 | Mina Xia | Dietitian, Registered | 7007 Kingswood Run Dr, Atlanta, GA 30340-1865 | 2020-11-03 |
| 1790386258 | Thrive Orthopaedics LLC | Orthopaedic Surgery | 5775 Peachtree Dunwoody Rd Ne Ste C150a, Atlanta, GA 30342-1501 | 2020-11-02 |
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1356941082 | Just Peachy Home Care LLC | Home Health | 550 Fairburn Rd Sw Ste B1, Atlanta, GA 30331-2016 | 2020-10-30 |
| Find all providers in ATLANTA | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614746 | Neuropsychology Associates of Georgia LLC | Clinical Neuropsychologist | 280 Interstate North Cir Se Ste 450, Atlanta, GA 30339-2451 | 2020-03-21 |
| 1023586773 | The Atlanta Psychology Group | Clinical Neuropsychologist | 3500 Piedmont Rd Ne Ste 740, Atlanta, GA 30305-1507 | 2018-11-09 |
| 1053850172 | S. Marilyn Miller | Clinical Neuropsychologist | 90 Fairlie St Nw, Suite 203, Atlanta, GA 30303-2127 | 2017-02-22 |
| 1457898371 | Tamara Weiss, M.d., LLC | Clinical Neuropsychologist | 1772 Century Blvd Ne Ste A, Atlanta, GA 30345-3396 | 2017-01-30 |
| 1689048076 | Laura Blackwell | Clinical Neuropsychologist | 5455 Meridian Marks Rd Ste 180, Atlanta, GA 30342-4716 | 2015-11-23 |
| 1306287412 | Negar Fani | Clinical Neuropsychologist | 101 Woodruff Cir Ste 4304, Atlanta, GA 30322-0001 | 2013-07-17 |
| 1629383799 | Aimilia Papazoglou | Clinical Neuropsychologist | 5825 Glenridge Dr Ste 1-133, Atlanta, GA 30328-7144 | 2010-08-13 |
| 1700113883 | Laura Lee Hoskins | Clinical Neuropsychologist | 2020 Peachtree Nw Rd, Atlanta, GA 30309-1426 | 2009-11-10 |
| 1831329077 | Dawn Linnea Ilardi | Clinical Neuropsychologist | 5455 Meridian Marks Rd Ne Ste 180, Atlanta, GA 30342-4716 | 2009-07-22 |
| 1174707756 | Catherine Hillary Rogers | Clinical Neuropsychologist | 280 Interstate North Cir Se, Suite 450, Atlanta, GA 30339-2450 | 2007-12-19 |
| Find all providers in ATLANTA | ||||
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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.