Individual provider Active NPI

Shirly Dorilas

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1447543517
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3355 Lenox Rd NE Ste 1000
Atlanta, GA 30326-2000
Phone
(833) 322-3423
NPI assigned
May 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

3355 Lenox Rd NE Ste 1000
Atlanta, GA 30326-2000

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Other practice location 1

150 E Palmetto Park Rd Ste 800
Boca Raton, FL 33432-4833
Phone (678) 464-3259

Other practice location 2

320 Lanier Ave W Ste 200
Fayetteville, GA 30214-7443
Phone (678) 464-3259

Other practice location 3

3355 Lenox Rd NE Ste 1000
Atlanta, GA 30326-2000
Phone (678) 464-3259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carpe Diem Intellectus, Inc. Behavior Analyst Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1447543517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 LENOX RD NE STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303262000",
            "telephone_number": "833-322-3423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Palmetto Park Rd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334324833",
            "country_code": "US",
            "telephone_number": "678-464-3259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Lanier Ave W Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302147443",
            "country_code": "US",
            "telephone_number": "678-464-3259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3355 Lenox Rd NE Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303262000",
            "country_code": "US",
            "telephone_number": "678-464-3259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORILAS",
        "first_name": "SHIRLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Sep 7, 2024; 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.