The Bridges Center

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

LPC003650 Issued in GA

Legal business name

THE BRIDGES CENTER

Practice address

3855 Presidential Pkwy
Atlanta, GA 30340-3705

Phone

(770) 451-6838

NPI assigned

Nov 7, 2006

Last updated

Aug 22, 2020By 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

Ms. Elana Terry, MED LPC

Title

Program Director

Phone

(770) 451-6838

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790854222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 PRESIDENTIAL PKWY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303403705",
            "telephone_number": "770-451-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 PRESIDENTIAL PKWY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303403705",
            "telephone_number": "770-451-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "ELANA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "770-451-6838",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MED LPC"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "LPC003650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cognitive & Behavioral Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Cognitive & Behavioral Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.