Charles Nord, PH.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

749 Issued in GA

Legal business name

CHARLES NORD, PH.D., P.C.

Practice address

2150 Peachford Rd Ste E
Atlanta, GA 30338-6521

Phone

(770) 457-2759

Fax

(770) 483-5456

NPI assigned

Dec 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Charles Nord, PH.D.NPI 1154335032

Title

Executive Director

Phone

(770) 457-2759

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.

• Charles Nord, PH.D.

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1154335032
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1902109200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD RD STE E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386521",
            "telephone_number": "770-457-2759",
            "fax_number": "770-483-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD RD STE E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386521",
            "telephone_number": "770-457-2759",
            "fax_number": "770-483-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES NORD, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "NORD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-457-2759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaux Charbonnet, MD
• Paula Joanne Charbonnet, MSN, NP-C, RN-C
• Charlene Johnson MD LLC
• Charles F Scott MD PC
• Charles Melville, PH.D., PC
• Charles R. Arp, DDS, PC
• Caroline Charles-May, MD
• Amy Sheinbein Charles, O.D.
• Atiya Charles, LCSW
• Dudley Charles, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.