Individual provider Active NPI

Dana Trahant Zavatkay, PHD,BCBA.D

  • Intellectual & Developmental Disabilities Psychologist
  • Atlanta, GA
National Provider Identifier
1285918540
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
PSY003851 Issued in GA
Practice address
1070 Rosedale Dr NE
Atlanta, GA 30306-3913
Phone
(404) 793-0504
NPI assigned
Oct 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Intellectual & Developmental Disabilities Psychologist 103TM1800X PSY003851 GA Primary

Addresses

Primary practice location

1070 Rosedale Dr NE
Atlanta, GA 30306-3913

Mailing address

1070 Rosedale Dr NE
Atlanta, GA 30306-3913
Phone (404) 793-0504

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
PSY003851GAMDIntellectual & Developmental Disabilities Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1285918540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 ROSEDALE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063913",
            "telephone_number": "404-793-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 ROSEDALE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063913",
            "telephone_number": "404-793-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVATKAY",
        "first_name": "DANA",
        "middle_name": "TRAHANT",
        "name_prefix": "Dr.",
        "credential": "PHD,BCBA.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "GA",
            "license": "PSY003851",
            "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 May 26, 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.