Peachtree Neuropsychological Associates, P.C.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2017 Issued in GA

Legal business name

PEACHTREE NEUROPSYCHOLOGICAL ASSOCIATES, P.C.

Practice address

990 Hammond Dr NE Ste 730
Atlanta, GA 30328-5510

Phone

(770) 220-0887

Fax

(770) 220-2486

NPI assigned

Jul 31, 2007

Last updated

Jul 31, 2007By 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

Dr. Thomas Burns, PSY.D.

Title

Owner

Phone

(770) 220-0887

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1801086210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 HAMMOND DR NE STE 730",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285510",
            "telephone_number": "770-220-0887",
            "fax_number": "770-220-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 HAMMOND DR NE STE 730",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285510",
            "telephone_number": "770-220-0887",
            "fax_number": "770-220-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE NEUROPSYCHOLOGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-220-0887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "2017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peachtree Nephrology Consultants LLC
• Peachtree Nephrology PC
• Peachtree Neurological Clinic, P.C.
• Peachtree Neurology Associates, P.C.
• Peachtree Neuromonitoring, LLC
• Peachtree Occupational Medicine & Urgent Care (Peachtree Orthopedic Occupational Medicine-Norcross)
• Peachtree Oral & Maxillofacial Surgery Associates
• Peachtree Orthopaedic Clinic
• Peachtree Orthopaedic Clinic
• Peachtree Orthopaedic Clinic P.a. (Peachtree Orthopaedic Physical Therapy)

• Clinical Neuropsychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Neuropsychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.