Daniel S. Kirschenbaum, PH.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

PSY003655 Issued in GA

Practice address

1665 Highway 34 E
Ste 100
Newnan, GA 30265-2404

Phone

(770) 514-6760

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Center for Behavioral Medicine LTD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1336237437
  NPD (past) Authorized official
• Psychological Diagnostic Center, LLC

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1184070575
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1295824860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 HIGHWAY 34 E",
            "address_2": "STE 100",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652404",
            "telephone_number": "770-514-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 HIGHWAY 34 E",
            "address_2": "STE 100",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652404",
            "telephone_number": "770-514-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHENBAUM",
        "first_name": "DANIEL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "PSY003655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica D'Andra King
• Amari Kinsey, RBT
• Tonya M Kinsey, PT
• Patricia Sue Kipper, AA-C
• Larhonda Kirkland, CCC-SLP
• Graham Thomas Kittrell
• Dianne Marie Knettel, RN MS
• Grace Beckham Knotts, PA-C
• Molly Knowles
• Lyonell Benn-Izak Kone, MD, MHS

• Cognitive & Behavioral Psychologist in Newnan, GA
• Providers in Newnan, GA by specialty
• Cognitive & Behavioral Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.