Center for Behavioral Change PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1661 Issued in GA

Legal business name

CENTER FOR BEHAVIORAL CHANGE PC

Practice address

4151 Memorial Dr
Suite 107E
Decatur, GA 30032-1504

Phone

(404) 292-8388

NPI assigned

Jan 27, 2007

Last updated

Apr 2, 2013By 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

Willie B Francis, PHDNPI 1972523199

Title

Psychologist

Phone

(404) 292-8388

Specialties & licenses 1

Addresses

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, and the practitioner matching its NPPES authorized official.

• Willie B Francis, PHD

  • Clinical Psychologist
  • Decatur, GA
  • NPI 1972523199
  Medicare reassignment NPD Authorized official
• Yvonne A. Strohl, L.P.C.

  • Professional Counselor
  • Decatur, GA
  • NPI 1447498308
  NPD (past)

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1861548190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 MEMORIAL DR",
            "address_2": "SUITE 107E",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321504",
            "telephone_number": "404-292-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 MEMORIAL DR",
            "address_2": "SUITE 107E",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321504",
            "telephone_number": "404-292-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BEHAVIORAL CHANGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-27",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-292-8388",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ce Hope Counseling Center, LLC
• Rosa Denise Cedeno, LPC
• Ryan Daniel Cedermark, NP DC
• Diana Magaly Cedillo, CNM, MSN
• Center for Attachment Resource and Enrichment, Inc.
• Center for Cognitive Rehabilitation
• Centerwell Senior Primary Care Ga PC (CenterWell Senior Primary Care-Wesley Chapel)
• Cep America LLC (Vituity)
• Cerebrofit LLC
• Myrna Cervetti, NCC

• Clinical Psychologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.