NPIMap

Organization Active NPI

Unlimited Performance Corp

  • Clinical Psychologist
  • Marietta, GA
National Provider Identifier
1235486903
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
UNLIMITED PERFORMANCE CORP
Practice address
2872 Johnson Ferry Rd
Ste 200
Marietta, GA 30062-8305
Phone
(770) 361-7864
NPI assigned
Aug 13, 2012
Last updated
Aug 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Samuel Alan Behrman, PHDNPI 1548219546
Title
Owner
Phone
(770) 361-7864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

2872 Johnson Ferry Rd
Ste 200
Marietta, GA 30062-8305

Mailing address

3044 Bristlewood LN NW
Marietta, GA 30064-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120814000491 GA Part B Supplier - Clinic/Group Practice 8022264696 Receives reassigned benefits from 16 practitioners
Practice locations: Marietta, GA
O20240206000205 LA Part B Supplier - Clinic/Group Practice 8022264696 Receives reassigned benefits from 6 practitioners
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

1041 Cambridge Sq
Alpharetta, GA 30009
Phone (770) 361-7864

1041 Cambridge Sq
Ste B
Alpharetta, GA 30009
Phone (404) 583-7421

4855 River Green Pkwy
Ste 330
Duluth, GA 30096

2862 Johnson Ferry Rd
Ste 150
Marietta, GA 30062
Phone (770) 361-7864

2876 Johnson Ferry Rd
Marietta, GA 30062
Phone (770) 361-7864

2876 Johnson Ferry Rd
Ste 150
Marietta, GA 30062
Phone (770) 361-7864

5064 Roswell Rd
Bldg A
Sandy Springs, GA 30342
Phone (770) 361-7864

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1235486903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 BRISTLEWOOD LN NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2872 JOHNSON FERRY RD",
            "address_2": "STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628305",
            "telephone_number": "770-361-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED PERFORMANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "BEHRMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-361-7864",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.