PEACHTREE PEDIATRIC PSYCHOLOGY, LLC (NPI# 1861998585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861998585 |
Entity Type | Organization |
Organization Name | PEACHTREE PEDIATRIC PSYCHOLOGY, LLC |
Practice Address |
750 Hammond Drive Bldg 7, Ste 200 Atlanta GA 30328 |
Practice Telephone | 4047967777 |
Mailing Telephone | 4047967777 |
Enumeration Date | 2018-04-02 |
Last Update Date | 2018-04-02 |
Authorized Official Name | DR. AVITAL K COHEN (LICENSED PSYCHOLOGIST) |
Authorized Official Telephone | 4047967777 |
Authorized Official Credential | PSY.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
3672 | GA | Behavioral Health & Social Service Providers |
Street Address |
750 HAMMOND DRIVE BLDG 7, STE 200 |
City | ATLANTA |
State | GA |
Zip Code | 30328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225164692 | Harry Kent Delcher | Internal Medicine | 750 Hammond Drive, Bldg 8 Suite 100, Atlanta, GA 30328 | 2007-02-27 |
1972102366 | Yasmin Wali | Behavioral Analyst | 750 Hammond Drive, Bldg. 1, Ste.#100, Atlanta, GA 30328 | 2020-10-18 |
1457886467 | Elise S Berryhill | Counselor | 750 Hammond Drive, Bldg. 4 Suite 300, Atlanta, GA 30328 | 2017-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
Find all providers in zip 30328 |
Taxonomy Code | 103TM1800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Mental Retardation & Developmental Disabilities |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
1033677737 | Assets of A King, LLC | Psychologist | 916 Maple Leaf Dr, Mcdonough, GA 30253-8083 | 2019-03-12 |
1780135244 | George Olarewaju | Psychologist | 3676 Riverview Approach, Ellenwood, GA 30294-4255 | 2016-10-20 |
1730637059 | Flora's Loving Hands | Psychologist | 4891 Eagles Ridge Loop, Lithonia, GA 30038 | 2016-09-15 |
1295156263 | Angelice Morgan | Psychologist | 506 Manchester Expressway, Columbus, GA 31904 | 2013-12-18 |
1982025045 | Amber Harrow | Psychologist | 506 Manchester Expy Ste A13and14, Columbus, GA 31904-6444 | 2013-12-17 |
1336358647 | Early Autism Project, Inc. | Psychologist | 5488 Chamblee Dunwoody Rd Ste 7, Dunwoody, GA 30338-4161 | 2007-05-22 |
1437290855 | Lowndes Advocacy Resource Center, Inc | Psychologist | 1646 E Park Ave, Valdosta, GA 31602-3413 | 2007-02-09 |
1154399152 | Amanda Griffin Wagner | Psychologist | 11 Charlie Morris Rd Bldg 2, Colbert, GA 30628-2445 | 2006-03-08 |
1821480906 | Deloris Smalley | Psychologist | 9021 Veterans Pkwy, Midland, GA 31820-3411 | 2015-02-25 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on PEACHTREE PEDIATRIC PSYCHOLOGY, LLC.
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.