NPIMap

Organization Active NPI

Erika Shore, PH.D., LLC

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1205387487
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY002788 Issued in GA
Legal business name
ERIKA SHORE, PH.D., LLC
Practice address
1766 Century Blvd NE Ste B
Atlanta, GA 30345-3394
Phone
(404) 660-4010
NPI assigned
Oct 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Erika Lauren Shore, PH.D.
Title
President
Phone
(404) 660-4010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY002788 GA Primary

Addresses

Primary practice location

1766 Century Blvd NE Ste B
Atlanta, GA 30345-3394

Mailing address

1766 Century Blvd NE Ste B
Atlanta, GA 30345-3394
Phone (404) 660-4010

National Provider Directory

National Provider Directory

Locations

1766 Century Blvd NE
Ste B
Atlanta, GA 30345
Phone (404) 229-4137

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1205387487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 CENTURY BLVD NE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453394",
            "telephone_number": "404-660-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 CENTURY BLVD NE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453394",
            "telephone_number": "404-660-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIKA SHORE, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "SHORE",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-660-4010",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002788",
            "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 Oct 21, 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.

Verify at the official NPI Registry.