Intown Psychological Associates LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY001580 Issued in GA

Legal business name

INTOWN PSYCHOLOGICAL ASSOCIATES LLC

Practice address

501 Pulliam St SW
Ste 407
Atlanta, GA 30312-2755

Phone

(404) 474-7021

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Scott J Leenan

Title

Office Adm

Phone

(404) 474-7021

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa G Grasso, LCSW

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1548501331
  NPD
• Michael Jay Manalo, PH.D.

  • Counseling Psychologist
  • Marietta, GA
  • NPI 1679857171
  NPD
• Valerie M Besses, PSY.D.

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1326199589
  NPD (past)
• Jonathan B Gersh, PSY.D.

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1679863062
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270166400000",
    "number": "1619125655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PULLIAM ST SW",
            "address_2": "STE 407",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122755",
            "telephone_number": "404-474-7021",
            "fax_number": "404-592-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PULLIAM ST SW",
            "address_2": "STE 407",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122755",
            "telephone_number": "404-474-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTOWN PSYCHOLOGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2010-04-02",
        "status": "A",
        "authorized_official_last_name": "LEENAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE ADM",
        "authorized_official_telephone_number": "404-474-7021",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY001580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "511G701121",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Intown Pediatric Behavioral Wellness LLC
• Intown Pediatric Therapy LLC
• Intown Pediatrics
• Intown Physical Therapy, LLC
• Intown Primary Care, PC
• Intown Psychology, LLC
• Intown Womens Health
• Intralign Ga PC
• Intrinsic Care Services, LLC
• Introdoctor LLC

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.