PSYCHOLOGICAL DIAGNOSTIC CENTER, LLC (NPI# 1184070575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184070575 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL DIAGNOSTIC CENTER, LLC |
| Practice Address |
1827 Powers Ferry Rd Se Building 22, Suite 200 Atlanta GA 30339-5621 |
| Practice Telephone | 7709534744 |
| Practice Fax Number | 7709534640 |
| Mailing Telephone | 7709534744 |
| Mailing Fax Number | 7709534640 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | DR. WILLA L BOSTON (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 7709534744 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY003953 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003169841A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427405554 | Psychological Diagnostic Center, LLC | Psychologist | 3860 Windermere Pkwy, Unit 203, Cumming, GA 30041-7005 | 2016-05-18 |
| Street Address |
1827 POWERS FERRY RD SE BUILDING 22, SUITE 200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376562736 | Jeffrey Lynn Binder | Psychologist | 1827 Powers Ferry Rd Se, Bldg. 22, Ste. 200, Atlanta, GA 30339-5621 | 2006-07-18 |
| 1497214308 | Horner Md, LLC | General Practice | 1827 Powers Ferry Rd Se, Atlanta, GA 30339-5621 | 2019-03-19 |
| 1609315795 | Smile Project Support Services, LLC | Community/Behavioral Health | 1827 Powers Ferry Rd Se, Building 7, Suite 350, Atlanta, GA 30339-5621 | 2017-02-22 |
| 1336506310 | Le Reve Spinal Care Clinic Co. | Chiropractor | 1827 Powers Ferry Rd Se, Building 7, Suite 150, Atlanta, GA 30339-5621 | 2016-01-22 |
| 1235596156 | Amir A Banishahi | Chiropractor | 1827 Powers Ferry Rd Se, Building 7, Suite 150, Atlanta, GA 30339-5621 | 2016-01-22 |
| 1205201126 | Rachel Scheinfield | Psychologist | 1827 Powers Ferry Rd Se, Building 22, Atlanta, GA 30339-5621 | 2015-12-03 |
| 1275929176 | Jeffrey Lee Helms | Clinic/Center | 1827 Powers Ferry Rd Se, Building 22, Suite 200, Atlanta, GA 30339-5621 | 2015-04-08 |
| 1811394539 | Erin Enzweiler | Counselor | 1827 Powers Ferry Rd Se, Atlanta, GA 30339 | 2014-11-24 |
| 1114352093 | Jessica Anne Mcmillan | Marriage & Family Therapist | 1827 Powers Ferry Rd Se, Building 7 Suite 350, Atlanta, GA 30339-5621 | 2013-09-10 |
| 1063852051 | Synergy Counseling Services | Community/Behavioral Health | 1827 Powers Ferry Rd Se, Bldg. 21, Ste 350, Atlanta, GA 30339-5621 | 2013-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403462 | Molly Elizabeth Katherine Mclaren | Psychologist | 1441 Clifton Rd Ne Ste 170, Atlanta, GA 30322-1004 | 2020-10-07 |
| 1255945572 | Kerri Eileen Woodward | Psychologist | 6000 Lake Forrest Dr Ste 103, Atlanta, GA 30328-5902 | 2020-09-03 |
| 1689296980 | Natalie N Watson-singleton | Psychologist | 2124 Cheshire Bridge Rd Ne Apt 4112, Atlanta, GA 30324-5733 | 2020-05-11 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1669091989 | Juliet Anne Buchwalter | Psychologist | 49 Lenox Pointe Ne Ste A, Atlanta, GA 30324-7426 | 2020-04-16 |
| 1508498395 | Walker Consulting & Psychological Services | Psychologist | 4375 Cobb Pkwy Se Ste 121, Atlanta, GA 30339-5537 | 2020-02-10 |
| 1952958522 | Atlas Psychological Services, LLC | Psychologist | 1100 Spring St Nw Ste 380, Atlanta, GA 30309-2854 | 2019-08-19 |
| 1679047591 | Timothy James Schlairet | Psychologist | 480 John Wesley Dobbs Ave Ne Unit 180, Atlanta, GA 30312-5326 | 2019-01-14 |
| 1578030581 | Marilyn Hazzard Lineberger | Psychologist | 5825 Glenridge Dr Bldg 3, Atlanta, GA 30328-5387 | 2018-10-28 |
| 1952896276 | Chad Irvin Lohman | Psychologist | 3800 Camp Creek Pkwy, Sw, Building 2000, Atlanta, GA 30331-6226 | 2018-06-28 |
| Find all providers in ATLANTA | ||||
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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.