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ATLANTA CENTER FOR PSYCHOTHERAPY INC. NPI 1306959176


NPI Information

NPI: 1306959176
Provider Name: ATLANTA CENTER FOR PSYCHOTHERAPY, INC.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 11D0668731

Address:
300 W WIEUCA RD NE
BLDG. 2 STE. 200
ATLANTA, GA
ZIP 30342
Phone: (404) 255-7929
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ATLANTA CENTER FOR PSYCHOTHERAPY, INC. is a clinical psychologist in Atlanta, GA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. ATLANTA CENTER FOR PSYCHOTHERAPY, INC. NPI is 1306959176. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 W WIEUCA RD NE
BLDG. 2 STE. 200
ATLANTA, GA
ZIP 30342-352
Phone: (404) 255-7929
Fax: (404) 303-0661

The provider's authorized official is Deborah F. Fernhoff .
The authorized official title is Director and has the following contact phone number (404) 255-7929.

The CLIA number assigned to this NPI record is 11D0668731 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/16/2006 and was last updated on 8/22/2020.


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
1103TC0700XPsychologistClinical442GEORGIAYes

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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