Individual provider Active NPI

Michelle Toma-Harrold, PH.D.

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1245467083
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY002552 Issued in GA
Practice address
1786 Century Blvd NE Ste a
Atlanta, GA 30345-3320
Phone
(404) 377-7436
Fax
(404) 377-0884
NPI assigned
Jun 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY002552 GA Primary

Addresses

Primary practice location

1786 Century Blvd NE Ste a
Atlanta, GA 30345-3320

Mailing address

1192 Foster St NW
Atlanta, GA 30318-4329
Phone (404) 377-7436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY002552GAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Howard School Past Accepting new patients

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": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1245467083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 FOSTER ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184329",
            "telephone_number": "404-377-7436",
            "fax_number": "404-377-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 CENTURY BLVD NE STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453320",
            "telephone_number": "404-377-7436",
            "fax_number": "404-377-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMA-HARROLD",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002552",
            "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 Jun 19, 2009; 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.