Organization Active NPI

Atlanta Child Therapy

  • Counselor
  • Kennesaw, GA
National Provider Identifier
1295143329
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
ATLANTA CHILD THERAPY
Practice address
2950 Cherokee St NW
Building 500
Kennesaw, GA 30144-2898
Phone
(678) 895-5074
NPI assigned
Aug 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Dr. Patricia Marie Crawford, PH.D.
Title
Direcector
Phone
(678) 895-5074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

2950 Cherokee St NW
Building 500
Kennesaw, GA 30144-2898

Mailing address

2950 Cherokee St NW
Building 500
Kennesaw, GA 30144-2898
Phone (678) 895-5074

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1295143329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 CHEROKEE ST NW",
            "address_2": "BUILDING 500",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442898",
            "telephone_number": "678-895-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 CHEROKEE ST NW",
            "address_2": "BUILDING 500",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442898",
            "telephone_number": "678-895-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA CHILD THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECECTOR",
        "authorized_official_telephone_number": "678-895-5074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.