Suncrest Autism Center LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SUNCREST AUTISM CENTER LLC

Practice address

1441 Woodmont LN NW # 972
Atlanta, GA 30318-2866

Phone

(773) 312-3735

NPI assigned

Mar 9, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Reece Epstein

Title

Owner

Phone

(773) 312-3735

Specialties & licenses 1

Addresses

Other names 1

• Suncrest Autism Center Doing business as

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1639764897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 WOODMONT LN NW # 972",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 WOODMONT LN NW # 972",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866",
            "telephone_number": "773-312-3735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9783 E 116th St",
            "address_2": "PMB 1320",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "46037",
            "country_code": "US",
            "telephone_number": "317-799-0920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNCREST AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "REECE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-312-3735",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suncrest Autism Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Suncrest Autism Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoebe M Sun, M.D.
• William W Sun, D.C.
• Adriana Karen Sunara-Waters, NP-C
• Sunbridge Retirement Care Associates LLC
• Sunburst Speech Therapy, LLC
• Suncrest Home Health-Southside, LLC
• Preeyanka Rubiana Sundar
• Anita Sundaramoorthy, MD
• Sunday River Counseling LLC
• Renee Sunday, M.D.

• Behavior Analyst in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.