Bruce E. Atkinson, PH.D., PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 001400 Issued in GA

Legal business name

BRUCE E. ATKINSON, PH.D., PC

Practice address

1830 Water PL SE
Suite 220
Atlanta, GA 30339-7407

Phone

(770) 439-9353

Fax

(770) 439-7090

NPI assigned

Sep 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Bruce E Atkinson, PH.D.NPI 1336116375

Title

Licensed Psychologist

Phone

(770) 439-9353

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Bruce E Atkinson, PH.D.

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1336116375
  NPD (past) Authorized official

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1740413129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1826",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301277524",
            "telephone_number": "770-439-9353",
            "fax_number": "770-439-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 WATER PL SE",
            "address_2": "SUITE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303397407",
            "telephone_number": "770-439-9353",
            "fax_number": "770-439-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE E. ATKINSON, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "770-439-9353",
        "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": "PSY 001400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000545069B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Brownstein, MD
• Latonya Shadella Brownteasley, CERTIFIED NURSES AS
• Enid Broyard, FNP-BC
• Laura Nichole Broyles, MD
• Sally Jackson Brozek, RD,CDE
• Barbara A Bruce, MD
• Beau Benjamin Bruce, M.D.
• Carlyle Bruce
• Darrell Nayo Bruce, PA-S
• John W Bruce Jr., DDS

• 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 Sep 1, 2009; 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.