Intellistars Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

INTELLISTARS THERAPY

Practice address

275 Upper Riverdale Rd Ste D
Riverdale, GA 30274-2556

Phone

(248) 770-3658

NPI assigned

Jul 1, 2021

Last updated

Dec 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miriam Greenwald

Title

Director

Phone

(248) 770-3658

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1790355618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SHENANDOAH DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014979",
            "telephone_number": "248-770-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 UPPER RIVERDALE RD STE D",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742556",
            "telephone_number": "248-770-3658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Shenandoah Dr",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087014979",
            "country_code": "US",
            "telephone_number": "248-770-3658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTELLISTARS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "GREENWALD",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-770-3658"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NJ",
            "identifier": "0450671179",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Infectious Diseases Associates, PC
• Infinity Behavioral Services, LLC (Success on the Spectrum)
• Jamillah Ingram
• Institute for Radiation Therapy,Inc.
• Integrated Healthcare Center of Southside
• Intentional Living Strategies, LLC
• Amjad Iqbal, MD
• David N Isaac, FNP-C
• Wanda Lanette Isbell, LCSW
• Janice Denise Ivery, RN

• Behavior Analyst in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.