Performance Development Incorporated

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002599 Issued in GA

Legal business name

PERFORMANCE DEVELOPMENT INCORPORATED

Practice address

4501 Circle 75 Pkwy SE
Suite 5220 Building E
Atlanta, GA 30339-3025

Phone

(678) 595-2244

NPI assigned

Sep 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Alex Higdon, PH.D.

Title

Licensed Psychologist

Phone

(678) 595-2244

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1306272299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 CHINA ROSE LN",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978485",
            "telephone_number": "678-595-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 CIRCLE 75 PKWY SE",
            "address_2": "SUITE 5220 BUILDING E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393025",
            "telephone_number": "678-595-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE DEVELOPMENT INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "HIGDON",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "678-595-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.