Atlanta Clinical Health Group

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

ATLANTA CLINICAL HEALTH GROUP

Doing business as

Atlanta Clinical Group

Practice address

2795 W Main St Ste 25a
Snellville, GA 30078-3075

Phone

(770) 982-2352

Fax

(770) 982-8848

NPI assigned

Jul 7, 2006

Last updated

Mar 25, 2011By 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. Jay Alan Weinstein, PH DNPI 1336358688

Title

Owner President

Phone

(770) 982-2352

Specialties & licenses 2

Addresses

Other names 1

• Atlanta Clinical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 5

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.

• Jay Weinstein, PH.D.

  • Clinical Neuropsychologist
  • Snellville, GA
  • NPI 1336358688
  Medicare reassignment Care Compare group NPD Authorized official
• Edward M. Vega, PH.D.

  • Clinical Psychologist
  • Decatur, GA
  • NPI 1518986108
  Medicare reassignment Care Compare group
• Linda G Dennard, LCSW

  • Clinical Social Worker
  • Stone Mountain, GA
  • NPI 1932240389
  NPD (past)
• Daniel D Eisenman, PH.D.

  • Clinical Psychologist
  • Gainesville, GA
  • NPI 1376757856
  NPD (past)
• Suzanne Musil, PHD

  • Clinical Neuropsychologist
  • Midland, MI
  • NPI 1992825699
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1194757492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 W MAIN ST STE 25A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783075",
            "telephone_number": "770-982-2352",
            "fax_number": "770-982-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 W MAIN ST STE 25A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783075",
            "telephone_number": "770-982-2352",
            "fax_number": "770-982-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA CLINICAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "770-982-2352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Clinical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Neuropsychologist in Snellville, GA
• Providers in Snellville, GA by specialty
• Clinical Neuropsychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.