Atlas Psychological Services, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3358 Issued in NC

Legal business name

ATLAS PSYCHOLOGICAL SERVICES, PLLC

Practice address

10800 Sikes PL Ste 300
Charlotte, NC 28277-8124

Phone

(704) 806-3214

Fax

(704) 831-5413

NPI assigned

Jan 25, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey A Atlas, PSYD

Title

Owner

Phone

(704) 806-3214

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1073050332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PELHAM LN",
            "city": "MARVIN",
            "state": "NC",
            "postal_code": "281736886",
            "telephone_number": "704-806-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 SIKES PL STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778124",
            "telephone_number": "704-806-3214",
            "fax_number": "704-831-5413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7810 Ballantyne Commons Pkwy",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282773415",
            "country_code": "US",
            "telephone_number": "704-806-3214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLAS PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ATLAS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-806-3214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlantic Coast Home Care
• Atlantic Coast Orthopedic Medical Supplies (Select Rehab)
• Atlas Management Care
• Atlas Medical Supply and Equipment
• Atlas Psychological PC
• Jennifer Lynn Atlas, MD
• Walter Gerard Atlas, MD
• Atlascare ABA NC LLC
• Ravitej Reddy Atluri
• Kassia Anne Atnip, AGACNP-BC

• Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.