NPIMap

Organization Active NPI

Kim Oppenheimer, PHD, PC

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1508972258
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1099 Issued in GA
Legal business name
KIM OPPENHEIMER, PHD, PC
Practice address
1100 Johnson Ferry Rd NE
BLDG 2, Suite 1090
Atlanta, GA 30342-1709
Phone
(404) 847-9560
Fax
(404) 847-9537
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Kim C Oppenheimer, PHDNPI 1508972464
Title
Clinical Psychologist
Phone
(404) 847-9560

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
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1099 GA Primary

Addresses

Primary practice location

1100 Johnson Ferry Rd NE
BLDG 2, Suite 1090
Atlanta, GA 30342-1709

Mailing address

1100 Johnson Ferry Rd NE
BLDG 2, Suite 1090
Atlanta, GA 30342-1709
Phone (404) 847-9560

National Provider Directory

National Provider Directory

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": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1508972258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD NE",
            "address_2": "BLDG 2, SUITE 1090",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421709",
            "telephone_number": "404-847-9560",
            "fax_number": "404-847-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD NE",
            "address_2": "BLDG 2, SUITE 1090",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421709",
            "telephone_number": "404-847-9560",
            "fax_number": "404-847-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM OPPENHEIMER, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIMER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-847-9560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1099",
            "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 Oct 25, 2007; 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.