Active NPI
Avital Karmel Cohen
- Clinical Psychologist
- Atlanta, GA
National Provider Identifier
1184870453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY003672
- Practice address
- 750 Hammond Dr NE
Building 7, Suite 200
Atlanta, GA 30328-5532 - Phone
- (678) 999-3477
- Fax
- (678) 999-3567
- NPI assigned
- Aug 18, 2008
- Last updated
- Jul 29, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1580 | AL | |
| Clinical Psychologist | 103TC0700X | PSY003672 | GA | Primary |
Addresses
Primary practice location
750 Hammond Dr NE
Building 7, Suite 200
Atlanta, GA 30328-5532
Mailing address
750 Hammond Dr NE
Building 7, Suite 200
Atlanta, GA 30328-5532
Phone (678) 999-3477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003133917A | Medicaid | GA |
Other names 1
- Dr. Avital Karmel Herbin
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003672 | GA | MD | Clinical Psychologist |
| 1580 | AL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Pediatric Psychology, LLC | Current | Accepting new patients |
Locations
750 Hammond Dr
Bldg 10
Sandy Springs, GA 30328
Phone (404) 245-7981
750 Hammond Dr
Bldg 7
Sandy Springs, GA 30328
Phone (404) 796-7777
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Intellectual & Developmental Disabilities Psychologist
- Atlanta, GA
- NPI 1861998585
-
- Clinical Psychologist
- Atlanta, GA
- NPI 1104255959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1184870453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 HAMMOND DR NE",
"address_2": "BUILDING 7, SUITE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285532",
"telephone_number": "678-999-3477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 HAMMOND DR NE",
"address_2": "BUILDING 7, SUITE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285532",
"telephone_number": "678-999-3477",
"fax_number": "678-999-3567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "AVITAL",
"middle_name": "KARMEL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "1580",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY003672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003133917A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AVITAL",
"last_name": "HERBIN",
"middle_name": "KARMEL",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.