Active NPI
Nick a Defilippis, PH.D., PC
- Clinical Neuropsychologist
- Atlanta, GA
National Provider Identifier
1346546702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 536
- Legal business name
- NICK A DEFILIPPIS, PH.D., PC
- Practice address
- 990 Hammond Dr NE
Suite 730
Atlanta, GA 30328-5529 - Phone
- (770) 730-9930
- Fax
- (770) 730-0998
- NPI assigned
- Feb 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nick Anthony Defilippis
- Title
- President
- Phone
- (770) 730-9930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 536 | GA | Primary |
Addresses
Primary practice location
990 Hammond Dr NE
Suite 730
Atlanta, GA 30328-5529
Mailing address
990 Hammond Dr NE
730
Atlanta, GA 30328-5529
National Provider Directory
National Provider DirectoryLocations
990 Hammond Dr
Ste 575
Sandy Springs, GA 30328
Phone (404) 843-1612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296604800000",
"number": "1346546702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 HAMMOND DR NE",
"address_2": "730",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 HAMMOND DR NE",
"address_2": "SUITE 730",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285529",
"telephone_number": "770-730-9930",
"fax_number": "770-730-0998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICK A DEFILIPPIS, PH.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-02",
"last_updated": "2011-02-02",
"status": "A",
"authorized_official_last_name": "DEFILIPPIS",
"authorized_official_first_name": "NICK",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-730-9930",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "GA",
"license": "536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.