Linda J. Klaitz Ed.D. PC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

PSY000767 Issued in GA

Legal business name

LINDA J. KLAITZ ED.D. PC

Practice address

300 W Wieuca Rd NE
BLD.2 Suite 200
Atlanta, GA 30342-3352

Phone

(404) 257-0964

NPI assigned

Feb 22, 2011

Last updated

Feb 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Linda J. Klaitz, MA EDM MS EDDNPI 1073642385

Title

Medical Psychologist

Phone

(404) 257-0964

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Klaitz, ED.D

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1073642385
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1578860854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WIEUCA RD NE",
            "address_2": "BLD.2 SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423352",
            "telephone_number": "404-257-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WIEUCA RD NE",
            "address_2": "BLD.2 SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423352",
            "telephone_number": "404-257-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA J. KLAITZ ED.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "KLAITZ",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEDICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-257-0964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MA EDM MS EDD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "PSY000767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheldon Michael Lincenberg, MD
• Molly Lincoln, PT,DPT
• Melanie Rae Lind-Ayres, M.D.
• Kerrie Ann Lind, MD
• Mitchell Bryant Lind
• Dallin Lindahl, MD
• Lauri Petteri Lindberg
• Monica Cathleen Lindberg
• Allison Frances Linden, MD, MPH
• Cheryl Linden, LPC

• Cognitive & Behavioral Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Cognitive & Behavioral Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.