True Integrative Health Corp

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

TRUE INTEGRATIVE HEALTH CORP

Doing business as

Midtown Pediatrics & Primary Care
Midtown Psychiatry

Practice address

1230 Peachtree St NE Ste 1957
Atlanta, GA 30309-3574

Phone

(678) 322-8138

Fax

(470) 468-0134

NPI assigned

Jan 12, 2021

Last updated

Jan 12, 2021By 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. Danielle Ibelema, MDNPI 1326331042

Title

Physician Owner

Phone

(678) 322-8138

Specialties & licenses 6

Addresses

Other names 2

• Midtown Pediatrics & Primary Care Doing business as
• Midtown Psychiatry Doing business as

Locations

Practitioners 1

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.

• Danielle Ibelema, M.D

  • Pediatrics Physician
  • Brookhaven, GA
  • NPI 1326331042
  Authorized official Same address or phone

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1225627599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 PEACHTREE RD NE STE A-536",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 PEACHTREE ST NE STE 1957",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093574",
            "telephone_number": "678-322-8138",
            "fax_number": "470-468-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE INTEGRATIVE HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "IBELEMA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "678-322-8138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Pediatrics & Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midtown Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marilyn Ashleigh Trudeau-Walls, LMSW
• Rylea Trudeau
• William James Trudo, M.D.
• True Healthcare Services, LLC
• True Hope Healthcare Services LLC
• True North Health Navigation LLC (DispatchHealth)
• True North Nursing LLC
• True North Physicians LLC
• Anne True, PT
• Ebonie Trueblood-Riles

• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.