JEFFREY H. FLATOW, M.D., LLC (NPI# 1104190644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104190644 |
Entity Type | Organization |
Organization Name | JEFFREY H. FLATOW, M.D., LLC |
Practice Address |
5435 Sugarloaf Pkwy Suite 1104 Lawrenceville GA 30043-7831 |
Practice Telephone | 6789859030 |
Practice Fax Number | 6789859485 |
Mailing Telephone | 6789859030 |
Mailing Fax Number | 6789859485 |
Enumeration Date | 2012-03-01 |
Last Update Date | 2012-03-01 |
Authorized Official Name | DR. JEFFREY H FLATOW (OWNER) |
Authorized Official Telephone | 6789859030 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
028543 | GA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00384777B | 05 |
Street Address |
5435 SUGARLOAF PKWY SUITE 1104 |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30043-7831 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174530703 | Rochelle Kallish | Counselor | 5435 Sugarloaf Pkwy, Suite 1103, Lawrenceville, GA 30043-7831 | 2006-08-03 |
1194100750 | Bates & Associates, Inc. | In Home Supportive Care | 5435 Sugarloaf Pkwy, Suite 2203, Lawrenceville, GA 30043-7831 | 2015-07-24 |
1386085280 | Kboggspc | Social Worker | 5435 Sugarloaf Pkwy, Suite 1104, Lawrenceville, GA 30043 | 2013-07-09 |
1275808487 | James L. Gonzales Counseling & Psychological Services PC | Clinic/Center | 5435 Sugarloaf Pkwy, Suite 1103, Lawrenceville, GA 30043-5700 | 2012-03-21 |
1316210412 | Ximena Helm | Counselor | 5435 Sugarloaf Pkwy, Suite 1103, Lawrenceville, GA 30043-7831 | 2012-02-20 |
1578769899 | Pamela E, Flatow, Lcsw, LLC | Social Worker | 5435 Sugarloaf Pkwy, Suite 1104, Lawrenceville, GA 30043-7831 | 2007-06-24 |
1033276613 | Katherine H Boggs | Counselor | 5435 Sugarloaf Pkwy, Lawrenceville, GA 30043-7831 | 2007-01-02 |
1841375656 | Pamela Ellen Flatow | Social Worker | 5435 Sugarloaf Pkwy, Suite 1104, Lawrenceville, GA 30043-7831 | 2006-10-27 |
1871607705 | James L Gonzales | Psychologist | 5435 Sugarloaf Pkwy, Suite 1103, Lawrenceville, GA 30043-7831 | 2006-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
Find all providers in zip 30043 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922165653 | Brighter Day Behavioral Health, Inc. | Clinic/Center | 2783 Us Highway 1, Lawrenceville, NJ 08648-4132 | 2007-01-02 |
1346598174 | A. Luke Lukens Lcsw Corporation | Clinic/Center | 750 Longleaf Blvd, Suite C, Lawrenceville, GA 30046-8459 | 2012-08-28 |
1275808487 | James L. Gonzales Counseling & Psychological Services PC | Clinic/Center | 5435 Sugarloaf Pkwy, Suite 1103, Lawrenceville, GA 30043-5700 | 2012-03-21 |
1336430263 | Northeast Georgia Mental Health Services, LLC | Clinic/Center | 285 S Perry St, Lawrenceville, GA 30046-4840 | 2011-04-26 |
1720110398 | Gwinnett Psychiatry, P.C. | Clinic/Center | 170 Camden Hill Rd, Suite C, Lawrenceville, GA 30046-7418 | 2007-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700491172 | Life Compass Mental Health Services, LLC | Clinic/Center | 300 Colnl Ctr Pkwy Ste 100n, Roswell, GA 30076-4892 | 2020-09-12 |
1104437987 | Mimi Mcdonald LLC | Clinic/Center | 408 Creekstone Rdg, Woodstock, GA 30188-3740 | 2020-08-13 |
1396353884 | Atlanta Mental Wellness LLC | Clinic/Center | 1535 Mount Vernon Rd Ste B, Dunwoody, GA 30338-4149 | 2020-07-21 |
1982212536 | Living Well Integrative Counseling, LLC | Clinic/Center | 245 N Highland Ave Ne Ste 230-285, Atlanta, GA 30307-1936 | 2020-07-20 |
1841808060 | By Grace Counseling LLC | Clinic/Center | 100 Hemingway Ln, Roswell, GA 30075-7024 | 2020-07-14 |
1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
1164055455 | New Perspectives Psychotherapy LLC | Clinic/Center | 10 N Clarendon Ave Ste B, Avondale Estates, GA 30002-1165 | 2020-02-15 |
1982234423 | All About You Counseling, LLC | Clinic/Center | 150 Prospect Pl, Alpharetta, GA 30005-5445 | 2020-01-23 |
1295372225 | Mental Space LLC | Clinic/Center | 4210 Columbia Rd Unit D, Martinez, GA 30907-0401 | 2019-12-10 |
1225679921 | Jacqueline Pickett Parrish | Clinic/Center | 3511 Willow Tree Trce, Decatur, GA 30034-3842 | 2019-10-03 |
Find all providers with the same taxonomy |
City | LAWRENCEVILLE |
Zip Code | 30043 |
Please comment or provide details below to improve the information on JEFFREY H. FLATOW, M.D., LLC.
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.