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MARK GILSON PHD PC NPI 1033394820


NPI Information

NPI: 1033394820
Provider Name: MARK GILSON PHD PC

Doing Business As: ATLANTA CENTER FOR COGNITIVE THERAPY, MARK GILSON, PH.D.

Classification: Psychologist - 103TB0200X
Entity Type: Organization

Specialization: Cognitive & Behavioral

Address:
1772 CENTURY BOULEVARD, NE
ATLANTA, GA
ZIP 30345
Phone: (404) 248-1159
Get Directions

MARK GILSON PHD PC is a cognitive and behavioral psychologist in Atlanta, GA. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. MARK GILSON PHD PC NPI is 1033394820. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Atlanta Center For Cognitive Therapy, Mark Gilson, Ph.d..

The provider's business location address is:

1772 CENTURY BOULEVARD, NE
ATLANTA, GA
ZIP 30345-396
Phone: (404) 248-1159
Fax: (404) 248-9776

The provider's authorized official is Mark Gilson .
The authorized official title is Clinical Psychologist and has the following contact phone number (404) 248-1159.

The enumeration date for this NPI number is 12/31/2007 and was last updated on 12/31/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & Behavioral1022GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100305819BMEDICAIDGEORGIA
2P87440MEDICARE UPINGEORGIA
3M62TCCGSMEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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