Organization Active NPI

Nick a Defilippis, PH.D., PC

  • Clinical Neuropsychologist
  • Atlanta, GA
National Provider Identifier
1346546702
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
536 Issued in GA
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
Last updated
Feb 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Dr. Nick Anthony DefilippisNPI 1295798486
Title
President
Phone
(770) 730-9930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

990 Hammond Dr
Ste 730
Sandy Springs, GA 30328
Phone (770) 220-0887

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.