NPIMap

Organization Active NPI

Drlullaby, LLC

  • Clinic/Center
  • Atlanta, GA
National Provider Identifier
1932813052
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DRLULLABY, LLC
Practice address
1700 Northside Dr NW Ste A7
Atlanta, GA 30318-2695
Phone
(844) 475-3379
Fax
(855) 644-2982
NPI assigned
Jan 12, 2023
Last updated
Jan 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
DRLULLABY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Lisa Ann MedalieNPI 1609175744
Title
Ceo
Phone
(619) 997-5759

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
Clinic/Center 261Q00000X NU Primary
Cognitive & Behavioral Psychologist 103TB0200X NU

Addresses

Primary practice location

1700 Northside Dr NW Ste A7
Atlanta, GA 30318-2695

Mailing address

1440 W Taylor St # 556
Chicago, IL 60607-4623
Phone (844) 475-3379

National Provider Directory

National Provider Directory
Tax ID family
Drlullaby LLC9 organizations share this tax ID, including this one
Part of
Drlullaby LLC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1932813052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W TAYLOR ST # 556",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074623",
            "telephone_number": "844-475-3379",
            "fax_number": "855-644-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NORTHSIDE DR NW STE A7",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182695",
            "telephone_number": "844-475-3379",
            "fax_number": "855-644-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRLULLABY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRLULLABY, LLC",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "MEDALIE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-997-5759"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 27, 2023; 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.