Active NPI
Ausborn Behavioral Care, PC
- Clinical Psychologist
- Atlanta, GA
National Provider Identifier
1114196912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- AUSBORN BEHAVIORAL CARE, PC
- Practice address
- 2295 Parklake Drive, N.E.
Suite 545
Atlanta, GA 30345-2950 - Phone
- (770) 938-4616
- Fax
- (855) 932-4901
- NPI assigned
- Feb 26, 2008
- Last updated
- Aug 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Denella Lazenby-Ausborn, PSY.D.
- Title
- Vice President/Chief Financial Offi
- Phone
- (770) 938-4616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | Primary |
Addresses
Primary practice location
2295 Parklake Drive, N.E.
Suite 545
Atlanta, GA 30345-2950
Mailing address
2295 Parklake Drive, N.E.
Suite 545
Atlanta, GA 30345-2950
Phone (770) 938-4616
National Provider Directory
National Provider DirectoryLocations
2295 Parklake Dr NE
Ste 545
Atlanta, GA 30345
Phone (770) 938-4616
1456 McLendon Dr
Ste B
Decatur, GA 30033
Phone (650) 557-8347
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Clinical Psychologist
- Tucker, GA
- NPI 1174676563
-
- Clinical Psychologist
- Tucker, GA
- NPI 1366596025
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- New York, NY
- NPI 1215924030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722470400000",
"number": "1114196912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2295 PARKLAKE DRIVE, N.E.",
"address_2": "SUITE 545",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452950",
"telephone_number": "770-938-4616",
"fax_number": "855-932-4901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 PARKLAKE DRIVE, N.E.",
"address_2": "SUITE 545",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452950",
"telephone_number": "770-938-4616",
"fax_number": "855-932-4901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUSBORN BEHAVIORAL CARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-26",
"last_updated": "2024-08-01",
"status": "A",
"authorized_official_last_name": "LAZENBY-AUSBORN",
"authorized_official_first_name": "DENELLA",
"authorized_official_title_or_position": "VICE PRESIDENT/CHIEF FINANCIAL OFFI",
"authorized_official_telephone_number": "770-938-4616",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"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 Aug 1, 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.