Marcus Autism Center

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

003405 Issued in GA

Legal business name

MARCUS AUTISM CENTER

Practice address

1920 Briarcliff Rd NE
Atlanta, GA 30329-4010

Phone

(404) 785-9400

NPI assigned

May 27, 2010

Last updated

May 27, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

CHILDREN'S HEALTHCARE OF ATLANTAAs reported in NPPES

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

Authorized official

Name

David Jaquess, PHDNPI 1437230760

Title

Program Director

Phone

(404) 785-9443

Specialties & licenses 1

Addresses

Part of

Marcus Autism Center Inc

Locations

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.

• David L Jaquess, PHD

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1437230760
  Authorized official Same address or phone

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1457670663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 BRIARCLIFF RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303294010",
            "telephone_number": "404-785-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 BRIARCLIFF RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303294010",
            "telephone_number": "404-785-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS AUTISM CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HEALTHCARE OF ATLANTA",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "JAQUESS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "404-785-9443",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "003405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Elizabeth Marcinkovich, PT
• Mallory Leigh Marcis, AUD
• Francis J Marcone, D.C.
• Hannah Eplan Marcovitch
• Samuel Harrison Marcum, MD
• Marcus Institute for Development and Learning Inc (Marcus Institute)
• Charles Marcus, MD
• David Joshua Marcus
• Dominique Marcus, LCSW
• Robert Martin Marcus, M.D.

• Registered Dietitian in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.