Medical Psychology Assocs., PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1550 Issued in GA

Legal business name

MEDICAL PSYCHOLOGY ASSOCS., PC

Practice address

5555 Glenridge Connector NE
200
Atlanta, GA 30342-4759

Phone

(404) 843-4740

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Neil Bruce Rappaport, PHD.

Title

President

Phone

(404) 843-4740

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1295916690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GLENRIDGE CONNECTOR NE",
            "address_2": "200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424759",
            "telephone_number": "404-843-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GLENRIDGE CONNECTOR NE",
            "address_2": "200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424759",
            "telephone_number": "404-843-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PSYCHOLOGY ASSOCS., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "RAPPAPORT",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-843-4740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.