Active NPI
Kleiman-Balasabas Psychological Services, LLC
- Psychologist
- Atlanta, GA
National Provider Identifier
1760726160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY003409
- Legal business name
- KLEIMAN-BALASABAS PSYCHOLOGICAL SERVICES, LLC
- Practice address
- 1827 Powers Ferry Rd SE
Building 22, Suite 200
Atlanta, GA 30339-5621 - Phone
- (770) 605-7153
- Fax
- (770) 953-4640
- NPI assigned
- Nov 26, 2012
- Last updated
- Nov 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lindsay D Kleiman, PSY.D.
- Title
- Psychologist
- Phone
- (770) 605-7153
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY003409 | GA | Primary |
Addresses
Primary practice location
1827 Powers Ferry Rd SE
Building 22, Suite 200
Atlanta, GA 30339-5621
Mailing address
1652 Caswell Pkwy
Marietta, GA 30060-9271
Phone (770) 605-7153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 796039667A | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Marietta, GA
- NPI 1730497298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353888000000",
"number": "1760726160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1652 CASWELL PKWY",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300609271",
"telephone_number": "770-605-7153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1827 POWERS FERRY RD SE",
"address_2": "BUILDING 22, SUITE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395621",
"telephone_number": "770-605-7153",
"fax_number": "770-953-4640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KLEIMAN-BALASABAS PSYCHOLOGICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-26",
"last_updated": "2012-11-26",
"status": "A",
"authorized_official_last_name": "KLEIMAN",
"authorized_official_first_name": "LINDSAY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "770-605-7153",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY003409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "796039667A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.