Individual provider Active NPI

Steve M Shindell, PHD

  • Clinical Neuropsychologist
  • Atlanta, GA
National Provider Identifier
1225141591
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY001321 Issued in GA
Practice address
3200 Downwood Cir NW
Ste 230
Atlanta, GA 30327-1610
Phone
(404) 605-0485
Fax
(404) 605-9695
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY001321 GA Primary

Addresses

Primary practice location

3200 Downwood Cir NW
Ste 230
Atlanta, GA 30327-1610

Mailing address

3200 Downwood Cir NW
Ste 230
Atlanta, GA 30327-1610
Phone (404) 605-0485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805000480 GA Practitioner - Clinical Psychologist 1153392782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3200 Downwood Cir NW
Suite 230
Atlanta, GA 30327-1610
Phone (404) 605-0485

3200 Downwood Cir NW
Suite 230
Atlanta, GA 30327-1611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY001321GAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Neuropsychology, LLC Clinical Neuropsychologist CurrentSince Oct 14, 2013 Accepting new patients

Locations

3200 Downwood Cir NW
Ste 230
Atlanta, GA 30327
Phone (404) 605-0485

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225141591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW",
            "address_2": "STE 230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271610",
            "telephone_number": "404-605-0485",
            "fax_number": "404-605-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW",
            "address_2": "STE 230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271610",
            "telephone_number": "404-605-0485",
            "fax_number": "404-605-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINDELL",
        "first_name": "STEVE",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "PSY001321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.