Atlanta Center for Family Psychology, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

001010 Issued in GA

Legal business name

ATLANTA CENTER FOR FAMILY PSYCHOLOGY, LLC

Practice address

3325 Paddocks Pkwy Ste 415
Suwanee, GA 30024-6059

Phone

(404) 216-0336

Fax

(678) 513-1188

NPI assigned

Nov 16, 2010

Organization subpart

No

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

Authorized official

Name

Micheaux Hall

Title

Billing Specialist

Phone

(678) 513-0313

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barry Leonard Klein, PH.D.

  • Psychologist
  • Suwanee, GA
  • NPI 1184658965
  Medicare reassignment NPD
• Elizabeth McCampbell, PH.D

  • Psychologist
  • Suwanee, GA
  • NPI 1386626000
  NPD

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1811298284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720535",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303582535",
            "telephone_number": "404-216-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 PADDOCKS PKWY STE 415",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246059",
            "telephone_number": "404-216-0336",
            "fax_number": "678-513-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA CENTER FOR FAMILY PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MICHEAUX",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "678-513-0313"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "001010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1184658965",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1811298284",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.