Eman Haddad

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN280248 Issued in GA

Practice address

3215 Summer Stream LN NW
Kennesaw, GA 30152-5883

Phone

(404) 388-8136

NPI assigned

Sep 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eman Haddad

  • Psychiatric/Mental Health Nurse Practitioner
  • Kennesaw, GA
  • NPI 1164210589
  NPD Authorized official
• Chris 180, Inc.

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1134257827
  NPD (past)

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1578046165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 SUMMER STREAM LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301525883",
            "telephone_number": "404-388-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 SUMMER STREAM LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301525883",
            "telephone_number": "404-388-8136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1291 Stanley Rd NW",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301524359",
            "country_code": "US",
            "telephone_number": "770-427-0147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "EMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN280248",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN280248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Gusmerotti
• Tanya L Gustafson, LAMFT
• H & T Eye Group, LLC
• Hackett-Hayes & Associates Inc
• Heather Hackett-Hayes, BCBA
• Mary Hahn, LMT
• Zyan Hairston
• Nikita Hale
• Christopher M Hall, LMHC, NCC
• Jessica Lauren Hall, O.D.

• Psychiatric/Mental Health Nurse Practitioner in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.