Michele J. Rusin, PH.D PC

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

1078 Issued in GA

Legal business name

MICHELE J. RUSIN, PH.D PC

Practice address

1776 Briarcliff Rd NE
Atlanta, GA 30306-2106

Phone

(404) 558-3639

NPI assigned

Nov 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Warner

Title

Billing Administrator

Phone

(770) 458-1594

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Jean Rusin, PH.D., ABPP

  • Rehabilitation Psychologist
  • Decatur, GA
  • NPI 1649349689
  Medicare reassignment NPD

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1396924692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133207",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303333207",
            "telephone_number": "404-558-3639",
            "fax_number": "770-458-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 BRIARCLIFF RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062106",
            "telephone_number": "404-558-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE J. RUSIN, PH.D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "770-458-1594",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "GA",
            "license": "1078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Michaud, PHARMD
• Victoria Marie Michel-Milian
• Alyssa Cherie Michel
• Jena Michel
• Keisha Michel
• Erik C Michelfelder, M.D.
• Michelle at the Healing Center Atlanta
• Michelle Evans, PC
• Michelle Haddad Neuropsychology LLC
• Michelle Wansky Inc

• Rehabilitation Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Rehabilitation Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.