Mary S. Griffin Carlson, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000691 Issued in GA

Practice address

430 Prior St. N.E.
Gainesville, GA 30501

Phone

(770) 393-8964

Fax

(678) 696-5171

NPI assigned

Feb 6, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Mary S Griffin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1609054196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 PIEDMONT WAY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-393-8964",
            "fax_number": "678-696-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 PRIOR ST. N.E.",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-393-8964",
            "fax_number": "678-696-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MARY",
        "middle_name": "S. GRIFFIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "000691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GRIFFIN",
            "middle_name": "S",
            "prefix": "MRS.",
            "credential": "BSN MED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Careatc
• Caresouth HHA Holdings of Gainesville, LLC
• Susan F Carey, MD
• Timothy Mitch Carey, MD
• Catherine Ann Carlson
• Britney Whitaker Carlton, CPNP-PC
• Dana Carlyle-Wehner, LCSW
• Melissa Kate Carman, ATC
• Anna M Carmichael, CCC-SLP
• Laura E Carmichael, CRNA

• Marriage & Family Therapist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.