Organization Active NPI

Trauma Center Inc

  • Marriage & Family Therapist
  • Atlanta, GA
National Provider Identifier
1861240871
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
TRAUMA CENTER INC
Practice address
235 Peachtree St NE Ste 400
Atlanta, GA 30303-1400
Phone
(404) 518-0272
NPI assigned
May 7, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Dr. Arleen Annette Fuller, PHD, BCMMHCNPI 1417665043
Title
Ceo
Phone
(404) 518-0272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

235 Peachtree St NE Ste 400
Atlanta, GA 30303-1400

Mailing address

5658 Greensage Dr
Atlanta, GA 30349-8739
Phone (404) 518-0272

National Provider Directory

National Provider Directory

Locations

5618 White Bluff Rd
#B
Savannah, GA 31405
Phone (404) 518-0272

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1861240871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5658 GREENSAGE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303498739",
            "telephone_number": "404-518-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PEACHTREE ST NE STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031400",
            "telephone_number": "404-518-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "ARLEEN",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-518-0272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, BCMMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.