Active NPI
Alison Megan Nathanson, PHD
- Clinical Psychologist
- Decatur, GA
National Provider Identifier
1073897088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY003838
- Practice address
- 111 N McDonough St
Decatur, GA 30030-3317 - Phone
- (678) 718-5130
- NPI assigned
- Oct 10, 2011
- Last updated
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY003838 | GA | Primary |
Addresses
Primary practice location
111 N McDonough St
Decatur, GA 30030-3317
Mailing address
111 N McDonough St
Decatur, GA 30030-3317
Phone (678) 718-5130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073897088 | Other | GA | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003838 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1073897088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N MCDONOUGH ST",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303317",
"telephone_number": "678-718-5130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N MCDONOUGH ST",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303317",
"telephone_number": "678-718-5130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHANSON",
"first_name": "ALISON",
"middle_name": "MEGAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-10",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY003838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "1073897088",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.