Mark D Ackerman, PHD
Individual provider Active NPI Clinical Psychologist · Atlanta, GA
NPI 1376651653 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376651653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1647 (GA)
- Practice address
- 3280 Howell Mill Rd NW
217 E
Atlanta, GA 30327-4111 - Phone
- (404) 428-1887
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1647 | GA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven L Morganstern Urology Clinic | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1647 | GA | Yes |
Addresses
Primary practice location
3280 Howell Mill Rd NW
217 E
Atlanta, GA 30327-4111
Mailing address
PO Box 888213
Atlanta, GA 30356-0213
Phone (404) 428-1887
Other providers in Atlanta, GA
- Michael D Acker II
- Sheena Marie Acker
- Ackerman Chiropractic Center, P.C.
- Jaime G Ackerman
- Jeremy David Ackerman
- Scott Alan Ackerman
- Yamamah Ackleh
- Autumn Acklin
- Mary Virginia Acklin
- Acorn Center for Counseling, Growth, & Healing LLC
All providers in Atlanta, GA · Clinical Psychologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.