Organization Active NPI

Skandalakis & Carroll, LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1336925718
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SKANDALAKIS & CARROLL, LLC
Doing business as
Skandalakis & Carroll, LLC
Practice address
6080 Heards Creek Dr
Atlanta, GA 30328-3633
Phone
(404) 990-0302
Fax
(404) 943-9939
NPI assigned
Sep 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Mrs. Maria Skandalakis Carroll, ED.S
Title
Behavior Specialist
Phone
(404) 990-0302

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6080 Heards Creek Dr
Atlanta, GA 30328-3633

Mailing address

6080 Heards Creek Dr
Atlanta, GA 30328-3633
Phone (404) 990-0302

Other names 1

  • Skandalakis & Carroll, LLC Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1336925718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 HEARDS CREEK DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283633",
            "telephone_number": "404-990-0302",
            "fax_number": "404-943-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 HEARDS CREEK DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283633",
            "telephone_number": "404-990-0302",
            "fax_number": "404-943-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKANDALAKIS & CARROLL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "SKANDALAKIS",
        "authorized_official_title_or_position": "BEHAVIOR SPECIALIST",
        "authorized_official_telephone_number": "404-990-0302",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ED.S"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skandalakis & Carroll, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 1, 2023; 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.