Alexandra Mena Phipps, PH.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

PSY001958 Issued in GA

Practice address

2312 Peachford Rd Ste C
Atlanta, GA 30338-5823

Phone

(770) 451-5912

Fax

(770) 457-3046

NPI assigned

May 3, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• North Atlanta Counseling Associates, Inc.

  • Professional Counselor
  • Atlanta, GA
  • NPI 1457592628
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629290366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 PARSONS RIDGE LN",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975110",
            "telephone_number": "770-418-1529",
            "fax_number": "770-418-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 PEACHFORD RD STE C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385823",
            "telephone_number": "770-451-5912",
            "fax_number": "770-457-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "ALEXANDRA",
        "middle_name": "MENA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "PSY001958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Philpot-Slocum
• Thomas Philpot, MD
• Beverly Lynn Philson, PMHCNS-BC
• Giselle J Philson, LMT
• Lesley O Phinazee, CMT,LMT
• Larry Gene Phipps, PHYSICIAN ASSISTANT
• Samantha Phipps
• Phlo Academy Union
• Phoenix & Sycomore Enterprises, LLC
• Phoenix & Sycomore Enterprises, LLC

• 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 Jul 8, 2007; 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.