Daniel Eisenman LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY003084 Issued in GA

Legal business name

DANIEL EISENMAN LLC

Practice address

11030 Jones Bridge Rd
Suite 203
Johns Creek, GA 30022-4560

Phone

(678) 263-8512

Fax

(678) 298-9997

NPI assigned

Jul 26, 2011

Organization subpart

No

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

Authorized official

Name

Daniel D Eisenman, PH.D.NPI 1376757856

Title

Owner

Phone

(678) 263-8512

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Daniel D Eisenman, PH.D.

  • Clinical Psychologist
  • Gainesville, GA
  • NPI 1376757856
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1891073797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 JONES BRIDGE RD",
            "address_2": "SUITE 203",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300224560",
            "telephone_number": "678-263-8512",
            "fax_number": "678-298-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 JONES BRIDGE RD",
            "address_2": "SUITE 203",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300224560",
            "telephone_number": "678-263-8512",
            "fax_number": "678-298-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL EISENMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "EISENMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-263-8512",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "PSY003084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Da Silva
• Elias Dagnew, M.D.
• Zunyan Dai, PH.D., DABMGG
• Snehal C Dalal, MD
• Victoria Violet Dames
• Alexandra Ferebee Daniel, PA-C
• Mariah Dantzler
• An Dau, PHARM.D
• Barbara Davis, RPH
• Jeniece Davis, COTA/L

• Clinical Neuropsychologist in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Clinical Neuropsychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.