Organization Active NPI

North Atlanta Pediatric Psychology

  • Psychologist
  • Roswell, GA
National Provider Identifier
1477053494
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-T001034 Issued in GA
Legal business name
NORTH ATLANTA PEDIATRIC PSYCHOLOGY
Practice address
515 E Crossville Rd Ste 210
Roswell, GA 30075-3093
Phone
(404) 823-1660
NPI assigned
Feb 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Dr. Cynthia Maynard Ward, PSYDNPI 1336390988
Title
Pediatric Psychologist
Phone
(404) 823-1660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X PS-T001034 GA Primary

Addresses

Primary practice location

515 E Crossville Rd Ste 210
Roswell, GA 30075-3093

Mailing address

515 E Crossville Rd Ste 210
Roswell, GA 30075-3093
Phone (404) 823-1660

Other names 1

  • North Atlanta Pediatric Psychology Former legal business name

National Provider Directory

National Provider Directory

Locations

515 E Crossville Rd
Ste 210
Roswell, GA 30075
Phone (214) 425-4448

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1477053494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E CROSSVILLE RD STE 210",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753093",
            "telephone_number": "404-823-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E CROSSVILLE RD STE 210",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753093",
            "telephone_number": "404-823-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ATLANTA PEDIATRIC PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "MAYNARD",
        "authorized_official_title_or_position": "PEDIATRIC PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-823-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PS-T001034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Atlanta Pediatric Psychology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.