NPIMap

Organization Active NPI

Mark Gilson PHD PC

Doing business as Atlanta Center for Cognitive Therapy, Mark Gilson, Ph.D.

  • Cognitive & Behavioral Psychologist
  • Atlanta, GA
National Provider Identifier
1033394820
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
1022 Issued in GA
Legal business name
MARK GILSON PHD PC
Doing business as
Atlanta Center for Cognitive Therapy, Mark Gilson, Ph.D.
Practice address
1772 Century Boulevard, NE
Atlanta, GA 30345-3396
Phone
(404) 248-1159
Fax
(404) 248-9776
NPI assigned
Dec 31, 2007
Last updated
Dec 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark Gilson, PH.D.NPI 1760597926
Title
Clinical Psychologist
Phone
(404) 248-1159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 1022 GA Primary

Addresses

Primary practice location

1772 Century Boulevard, NE
Atlanta, GA 30345-3396

Mailing address

1772 Century Blvd NE
Atlanta, GA 30345-3396
Phone (404) 248-1159

Other identifiers 1

IdentifierTypeStateIssuer
00305819BMedicaidGA

Other names 1

  • Atlanta Center for Cognitive Therapy, Mark Gilson, Ph.D. Doing business as

National Provider Directory

National Provider Directory

Locations

1772 Century Blvd NE
Atlanta, GA 30345
Phone (404) 248-1159

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1033394820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 CENTURY BLVD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453396",
            "telephone_number": "404-248-1159",
            "fax_number": "404-248-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 CENTURY BOULEVARD, NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453396",
            "telephone_number": "404-248-1159",
            "fax_number": "404-248-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK GILSON PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "GILSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-248-1159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "1022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00305819B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Center for Cognitive Therapy, Mark Gilson, Ph.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.