Hypnosis Clinic Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

HYPNOSIS CLINIC INC

Practice address

4651 Chamblee Dunwoody Rd
Suite D
Atlanta, GA 30338-6339

Phone

(770) 512-0400

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Marvin GoldsteinNPI 1487860342

Title

Ceo

Phone

(770) 512-0400

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marvin Scott Goldstein, PH.D.

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1487860342
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821204793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386339",
            "telephone_number": "770-512-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386339",
            "telephone_number": "770-512-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYPNOSIS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-512-0400"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• 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.