ROCKDALE PSYCHIATRIC ASSOCIATES PC (NPI# 1093041584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093041584 |
| Entity Type | Organization |
| Organization Name | ROCKDALE PSYCHIATRIC ASSOCIATES PC |
| Practice Address |
1397 Manchester Dr Ne Conyers GA 30012-3882 |
| Practice Telephone | 7709220255 |
| Practice Fax Number | 7709223132 |
| Mailing Telephone | 7709220255 |
| Mailing Fax Number | 7709223132 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |
| Authorized Official Name | DR. ANNAMARIE SPILLANE PAULSEN (OWNER) |
| Authorized Official Telephone | 7709220255 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
029066 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00516381B | 05 |
| Street Address |
1397 MANCHESTER DR NE |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225192479 | Robert Tyre Jones Iv | Psychologist | 1397 Manchester Dr Ne, Conyers, GA 30012-3882 | 2006-12-21 |
| 1861790248 | Chrisanne Mayer | Psychologist | 1397 Manchester Dr Ne, Conyers, GA 30012-3882 | 2011-03-08 |
| 1285766055 | Annamarie S Paulsen | Psychiatry & Neurology | 1397 Manchester Dr Ne, Conyers, GA 30012-3882 | 2007-03-09 |
| 1063569069 | Steven H Littrell | Counselor | 1397 Manchester Dr Ne, Conyers, GA 30012-3882 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982813697 | Augusta Area Psychiatric Associates | Psychologist | 1505 Winter St, Bldg C, Augusta, GA 30904-4819 | 2007-05-21 |
| 1992911234 | Gwendolyn Moddrell Md PC | Psychologist | 247 W Main St # B, Swainsboro, GA 30401-3163 | 2007-05-15 |
| 1508082850 | Elaine L Levin | Psychologist | 3131 E Shadowlawn Ave Ne, Atlanta, GA 30305-2405 | 2007-04-17 |
| 1487059564 | Peachtree Family Psychiatry Clinic | Psychologist | 1776 Peachtree St Nw, Suite 310 North, Atlanta, GA 30309-2307 | 2014-10-30 |
| 1477814242 | A. Benjamin Eubanks, Md, LLC | Psychologist | 2751 Buford Hwy Ne, Suite 204, Atlanta, GA 30324-3207 | 2012-06-07 |
| 1467611087 | David William Tascarella | Psychologist | 3975 Roswell Rd Ne, Atlanta, GA 30342-4117 | 2008-06-09 |
| 1578721189 | Insight Psychotherapy & Assessment Services | Psychologist | 1908 Dawson Rd, Albany, GA 31707-3306 | 2008-05-30 |
| 1801054739 | Scott Snyder, M.d., P.C. | Psychologist | 1999 Prince Ave, Athens, GA 30606-6013 | 2008-05-28 |
| 1851511851 | Institute for Behavioral Medicine | Psychologist | 696 Concord Rd Se, Smyrna, GA 30082-2629 | 2007-05-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.