Organization Active NPI

Healing Matters, LLC

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1518386408
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY003760 Issued in GA
Legal business name
HEALING MATTERS, LLC
Practice address
1151 Sheridan Rd NE
Atlanta, GA 30324-3714
Phone
(319) 936-4090
NPI assigned
Apr 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Dr. Elham Bagheri, PHD
Title
Psychologist
Phone
(319) 936-4090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY003760 GA Primary

Addresses

Primary practice location

1151 Sheridan Rd NE
Atlanta, GA 30324-3714

Mailing address

116 Ponce de Leon Ave NE
2603
Atlanta, GA 30308-4113
Phone (319) 936-4090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1518386408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 PONCE DE LEON AVE NE",
            "address_2": "2603",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303084113",
            "telephone_number": "319-936-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 SHERIDAN RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243714",
            "telephone_number": "319-936-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MATTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "BAGHERI",
        "authorized_official_first_name": "ELHAM",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "319-936-4090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003760",
            "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 Apr 8, 2014; 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.