Individual provider Active NPI

Anne-Marie Meehan, PHD.,ABPP

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1346357753
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
000763 Issued in GA
Practice address
25 Lenox Pointe NE Ste B
Atlanta, GA 30324-7420
Phone
(404) 276-9036
Fax
(404) 266-8687
NPI assigned
Aug 23, 2006
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 000763 GA Primary

Addresses

Primary practice location

25 Lenox Pointe NE Ste B
Atlanta, GA 30324-7420

Mailing address

386 Herrington Dr NE
Atlanta, GA 30342-3820
Phone (404) 276-9036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061026000355 GA Practitioner - Clinical Psychologist 9133126691 Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25 B Lenox Pointe NE
Atlanta, GA 30324-3172
Phone (404) 276-9036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000763GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Melville, PH.D., PC Clinical PastSince Jul 31, 2022 Accepting new patients
Care and Counseling Center of Georgia, Inc. PastSince Oct 2, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1346357753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 HERRINGTON DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423820",
            "telephone_number": "404-276-9036",
            "fax_number": "404-266-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LENOX POINTE NE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303247420",
            "telephone_number": "404-276-9036",
            "fax_number": "404-266-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "ANNE-MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD.,ABPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "000763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.