Mose and Garrison Siskin Memorial Foundation

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION

Doing business as

Siskin Center for Developmental Pediatrics

Practice address

55 Atlanta St SE Ste 399
Marietta, GA 30060-1977

Phone

(423) 490-7710

Fax

(423) 490-7750

NPI assigned

Jun 27, 2019

Last updated

Jun 27, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

MOSE AND GARRISON SISKIN MEMORIAL FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Stephanie Cooper-Wilkes

Title

Director Healthcare Administration

Phone

(423) 490-7727

Specialties & licenses 1

Addresses

Other names 1

• Siskin Center for Developmental Pediatrics Doing business as

Tax ID family

Mose and Garrison Siskin Memorial Foundation Inc3 organizations share this tax ID, including this one

Part of

Mose and Garrison Siskin Memorial Foundation Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mose and Garrison Siskin Memorial Foundation, Inc.

  dba Siskin Children's Institute

  • Early Intervention Provider Agency
  • Chattanooga, TN
  • NPI 1619451739
  NPD tax ID
• Mose and Garrison Siskin Memorial Foundation, Inc.

  dba Siskin Center for Developmental Pediatrics

  • Specialist
  • Chattanooga, TN
  • NPI 1902132509
  NPD tax ID

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.

• Grace E Peoples, BCBA

  • Behavior Analyst
  • Orlando, FL
  • NPI 1427694108
  NPD (past)

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1255992319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CARTER ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374025017",
            "telephone_number": "423-490-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ATLANTA ST SE STE 399",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601977",
            "telephone_number": "423-490-7710",
            "fax_number": "423-490-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "COOPER-WILKES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DIRECTOR HEALTHCARE ADMINISTRATION",
        "authorized_official_telephone_number": "423-490-7727"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siskin Center for Developmental Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clifford J Morton, D.D.S.,P.C.
• Jennifer Lynn Morton, MSN, ACNP
• Kevin Morton
• Sasha Geathers Morton, NP-C
• Jayla N Mosby
• Amy Katherine Moser, MA, BCBA
• Kate Moses-Uboh
• Marjorie Ann Mosher, PT, DPT, MTC
• Marc Moskowitz, DDS
• Nicole Mosley, NP

• Behavior Analyst in Marietta, GA
• Providers in Marietta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.