Carrefour of Atlanta Psychological Health Institute LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY003854 Issued in GA

Legal business name

CARREFOUR OF ATLANTA PSYCHOLOGICAL HEALTH INSTITUTE LLC

Practice address

2751 Buford Hwy NE Ste 700
Atlanta, GA 30324-3207

Phone

(678) 687-9149

NPI assigned

Jan 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Lydia Odenat, PHD

Title

Licensed Psychologist

Phone

(678) 687-9149

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1457741829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 MAIN ST UNIT 307",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442675",
            "telephone_number": "678-687-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY NE STE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243207",
            "telephone_number": "678-687-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARREFOUR OF ATLANTA PSYCHOLOGICAL HEALTH INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "ODENAT",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "678-687-9149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugo Oscar Carranza, LMT
• Jorge Carranza, MS
• Michelle Carranza, NP
• Gabriela Carrasco
• Joanice Carrasquillo Berberena, BT
• Niara J Carrenard
• Phyllis Carrera, L.P.C.
• Alexa Leigh Carreras, MD
• Carrie a. Watkins, D.D.S.
• Katherine Melissa Carrier

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.