PEACHTREE PEDIATRIC PSYCHOLOGY, LLC


Address: 750 Hammond Drive, Bldg 7, Ste 200, Atlanta, GA 30328
Phone: 4047967777

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 750 HAMMOND DRIVE
BLDG 7, STE 200
City ATLANTA
State GA
Zip Code 30328

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

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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
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Competitor

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City ATLANTA
Zip Code 30328

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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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