Kids on the Move, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

002616 Issued in GA

Legal business name

KIDS ON THE MOVE, LLC

Practice address

3500 Piedmont Rd NE Ste 211
Atlanta, GA 30305-1559

Phone

(404) 846-2600

Fax

(404) 846-2700

NPI assigned

Jan 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Debra Kim Roberts, PH.D.

Title

Co-Owner

Phone

(404) 846-2600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christi Lyn Bartolomucci, PH.D.

  • Psychologist
  • Atlanta, GA
  • NPI 1750410080
  NPD (past)

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679624183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 PIEDMONT RD NE STE 211",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051559",
            "telephone_number": "404-846-2600",
            "fax_number": "404-846-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 PIEDMONT RD NE STE 211",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051559",
            "telephone_number": "404-846-2600",
            "fax_number": "404-846-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS ON THE MOVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "404-846-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "002616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Byssainthe Kidd, LCSW
• Jordan Kidd, CPHT
• Shane Kidd
• Kidgroups, LLC
• Kidneyspa East Atlanta Dialysis, LLC
• Kids Time Pediatrics of Perimeter, LLC
• Kids-N-Motion ABA LLC
• Kids-N-Motion, Inc
• Kyle Michael Kidwell, MD
• Jacqueline Kiefel, PHD

• 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 Aug 22, 2020; 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.