Organization Active NPI

Oscar F Tanaka PHD, PA

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1285893610
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
002048 Issued in GA
Legal business name
OSCAR F TANAKA PHD, PA
Practice address
2045 Peachtree Rd NE
Suite 150
Atlanta, GA 30309-1414
Phone
(404) 352-4348
Fax
(404) 352-4334
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Oscar F Tanaka, PH.D.
Title
Psychologist
Phone
(404) 352-4348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 002048 GA Primary

Addresses

Primary practice location

2045 Peachtree Rd NE
Suite 150
Atlanta, GA 30309-1414

Mailing address

2045 Peachtree Rd NE
Suite 150
Atlanta, GA 30309-1414
Phone (404) 352-4348

Other identifiers 1

IdentifierTypeStateIssuer
000722389AMedicaidGA

National Provider Directory

National Provider Directory

Locations

2045 Peachtree Rd NE
Ste 150
Atlanta, GA 30309
Phone (404) 352-4348

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1285893610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 PEACHTREE RD NE",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091414",
            "telephone_number": "404-352-4348",
            "fax_number": "404-352-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 PEACHTREE RD NE",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091414",
            "telephone_number": "404-352-4348",
            "fax_number": "404-352-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR F TANAKA PHD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "TANAKA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-352-4348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "002048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000722389A",
            "state": "GA"
        }
    ],
    "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 2, 2008; 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.