Organization Active NPI

Tyler Wilkinson PHD LPC

  • Adult Mental Health Clinic/Center
  • Atlanta, GA
National Provider Identifier
1982093241
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
008029 Issued in GA
Legal business name
TYLER WILKINSON PHD LPC
Practice address
3495 Piedmont Rd NE
Suite 708
Atlanta, GA 30305-1717
Phone
(470) 210-7797
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Dr. Robert Tyler Wilkinson, PH.D., LPC, ACS, NCCNPI 1184936460
Title
Director
Phone
(334) 498-2289

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 008029 GA Primary

Addresses

Primary practice location

3495 Piedmont Rd NE
Suite 708
Atlanta, GA 30305-1717

Mailing address

2659 Patrick CT SE
Atlanta, GA 30317-3024
Phone (334) 498-2289

National Provider Directory

National Provider Directory

Locations

3495 Piedmont Rd NE
Ste 708
Atlanta, GA 30305
Phone (334) 498-2289

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1982093241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 PATRICK CT SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303173024",
            "telephone_number": "334-498-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT RD NE",
            "address_2": "SUITE 708",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051717",
            "telephone_number": "470-210-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER WILKINSON PHD LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "334-498-2289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPC, ACS, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "008029",
            "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 Jan 9, 2015; 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.