Active NPI
Vivian Sue Auerbach, PH.D.
- Clinical Neuropsychologist
- Decatur, GA
National Provider Identifier
1770648552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 000953
- Practice address
- 1439 McLendon Dr Ste D
Decatur, GA 30033-1841 - Phone
- (404) 982-0222
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 000953 | GA | Primary |
Addresses
Primary practice location
1439 McLendon Dr Ste D
Decatur, GA 30033-1841
Mailing address
PO Box 1726
Decatur, GA 30031-1726
Phone (404) 982-0222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00309658B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000953 | GA | MD | Addiction (Substance Use Disorder) Counselor |
| 953 | GA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770648552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1726",
"city": "DECATUR",
"state": "GA",
"postal_code": "300311726",
"telephone_number": "404-982-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1439 MCLENDON DR STE D",
"city": "DECATUR",
"state": "GA",
"postal_code": "300331841",
"telephone_number": "404-982-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUERBACH",
"first_name": "VIVIAN",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "GA",
"license": "000953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00309658B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- 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.