Atlanta Network for Individual and Family Therapy
Organization Active NPI Psychologist · Dunwoody, GA
NPI 1487700969 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1487700969
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- ATLANTA NETWORK FOR INDIVIDUAL AND FAMILY THERAPY
- Practice address
- 1864 Independence SQ Ste a
Dunwoody, GA 30338-5160 - Phone
- (770) 668-0350
- Fax
- (770) 668-0350
- NPI assigned
- Jan 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Marsha B Sauls, PH.D.
- Title
- Psychologist Owner
- Phone
- (770) 668-0350
Practitioners 7
-
Wendy Heath-Gainer, PH.D.
-
Marsha B Sauls, PH.D.
-
David J. Ready, PH.D.
-
Susan K Bertelson, PHD
-
Frances Carroll, PSYD
-
Donna Kay Ulrici, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040527000429 | GA | Part B Supplier - Clinic/Group Practice | 7315928108 |
Receives reassigned benefits from 2 practitioners Practice locations: Dunwoody, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes |
Addresses
Primary practice location
1864 Independence SQ Ste a
Dunwoody, GA 30338-5160
Mailing address
1864 Independence SQ Ste a
Dunwoody, GA 30338-5160
Phone (770) 668-0350
Other providers in Dunwoody, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.