Active NPI
Kirk Mitchell Lalor, PH D
- Psychologist
- Atlanta, GA
National Provider Identifier
1487986626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 839
- Practice address
- 2200 Century Pkwy NE
Suite 200
Atlanta, GA 30345-3154 - Phone
- (404) 325-0304
- Fax
- (404) 325-3663
- NPI assigned
- Feb 11, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 839 | GA | Primary |
Addresses
Primary practice location
2200 Century Pkwy NE
Suite 200
Atlanta, GA 30345-3154
Mailing address
2200 Century Pkwy NE
Suite 200
Atlanta, GA 30345-3154
Phone (404) 325-0304
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 839 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1487986626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 CENTURY PKWY NE",
"address_2": "SUITE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453154",
"telephone_number": "404-325-0304",
"fax_number": "404-325-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 CENTURY PKWY NE",
"address_2": "SUITE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303453154",
"telephone_number": "404-325-0304",
"fax_number": "404-325-3663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALOR",
"first_name": "KIRK",
"middle_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "PH D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-11",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "839",
"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 Feb 11, 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.