Organization Active NPI

Arlen Versteeg PHD PC

  • Counseling Psychologist
  • Atlanta, GA
National Provider Identifier
1780043976
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY002172 Issued in GA
Legal business name
ARLEN VERSTEEG PHD PC
Practice address
340 Boulevard NE
Ste 345
Atlanta, GA 30312-1273
Phone
(404) 653-0322
Fax
(404) 653-0466
NPI assigned
Feb 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Dr. Arlen Versteeg, PH.D.
Title
Ceo
Phone
(404) 653-0322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X PSY002172 GA Primary

Addresses

Primary practice location

340 Boulevard NE
Ste 345
Atlanta, GA 30312-1273

Mailing address

340 Boulevard NE
Ste 345
Atlanta, GA 30312-1273
Phone (404) 653-0322

Other identifiers 5

IdentifierTypeStateIssuer
527881OtherGAWELLCARE OF GA
GAMPBHP10000796173OtherGAAMBETTER
1348078OtherGACIGNA
GABH101949OtherGACENPATICO
000755334BMedicaidGA

National Provider Directory

National Provider Directory

Locations

315 Boulevard NE
Ste 524
Atlanta, GA 30312

340 Boulevard NE
Ste 345
Atlanta, GA 30312
Phone (404) 309-0111

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1780043976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BOULEVARD NE",
            "address_2": "STE 345",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121273",
            "telephone_number": "404-653-0322",
            "fax_number": "404-653-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BOULEVARD NE",
            "address_2": "STE 345",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121273",
            "telephone_number": "404-653-0322",
            "fax_number": "404-653-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLEN VERSTEEG PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "VERSTEEG",
        "authorized_official_first_name": "ARLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-653-0322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY002172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF GA",
            "identifier": "527881",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBETTER",
            "identifier": "GAMPBHP10000796173",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1348078",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENPATICO",
            "identifier": "GABH101949",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000755334B",
            "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 Feb 16, 2016; 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.