NPIMap

Organization Active NPI

Spectrum Analytic Consulting LLC

  • Early Intervention Provider Agency
  • Atlanta, GA
National Provider Identifier
1053700260
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
16805893 Issued in GA
Legal business name
SPECTRUM ANALYTIC CONSULTING LLC
Practice address
750 Hammond Dr NE
BLDG 16 Ste 100
Atlanta, GA 30328-5532
Phone
(678) 736-3250
NPI assigned
Jan 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Melissa K Steele-Parks, BCBANPI 1417355934
Title
Ceo
Phone
(678) 974-2162

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 16805893 GA
Community/Behavioral Health Agency 251S00000X 16805893 GA
Early Intervention Provider Agency 252Y00000X 16805893 GA Primary

Addresses

Primary practice location

750 Hammond Dr NE
BLDG 16 Ste 100
Atlanta, GA 30328-5532

Mailing address

2788 Farmstead Rd SE
Smyrna, GA 30080-2620
Phone (678) 736-3250

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Analytic Consulting LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

750 Hammond Dr
Bldg 16
Sandy Springs, GA 30328
Phone (678) 736-3250

Practitioners & affiliated clinicians

Practitioners 1

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": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1053700260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2788 FARMSTEAD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802620",
            "telephone_number": "678-736-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HAMMOND DR NE",
            "address_2": "BLDG 16 STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285532",
            "telephone_number": "678-736-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM ANALYTIC CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "STEELE-PARKS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-974-2162",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "GA",
            "license": "16805893",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "16805893",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "GA",
            "license": "16805893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 25, 2024; 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.