DR. KRISTINE BORDEN WHIGHAM (NPI# 1205011954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205011954 |
| Entity Type | Individual |
| Full Name | DR. KRISTINE BORDEN WHIGHAM |
| Other Name | DR. KRISTINE ANN BORDEN |
| Credential | PSYD |
| Practice Address |
5455 Meridian Mark Rd Suite 180 Atlanta GA 30342 |
| Mailing Address |
1001 Johnson Ferry Rd Department of Neuropsychology Atlanta GA 30342 |
| Practice Telephone | 4047852856 |
| Practice Fax Number | 4047852851 |
| Mailing Telephone | 4047852856 |
| Mailing Fax Number | 4047852851 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2012-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY003130 | GA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY003130 | GA | Behavioral Health & Social Service Providers |
| Street Address |
5455 MERIDIAN MARK RD SUITE 180 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295799161 | Glen Lew | Pediatrics | 5455 Meridian Mark Rd, Suite 400, Atlanta, GA 30342-1654 | 2006-04-17 |
| 1295279917 | Lisa Sitz | Nurse Practitioner | 5455 Meridian Mark Rd, Atlanta, GA 30342 | 2016-12-14 |
| 1952757189 | Lindsey Jacobs | Nurse Practitioner | 5455 Meridian Mark Rd, Suite 400, Atlanta, GA 30342-1654 | 2016-05-06 |
| 1982943452 | Kimberly Nicole Steinberg | Nurse Practitioner | 5455 Meridian Mark Rd, Suite 130, Atlanta, GA 30342 | 2013-02-04 |
| 1184886947 | Joanna Grossman Newton | Pediatrics | 5455 Meridian Mark Rd, Suite 400, Atlanta, GA 30342 | 2008-07-01 |
| 1275655326 | Barunashish Brahma | Neurological Surgery | 5455 Meridian Mark Rd, Ste 540, Atlanta, GA 30342 | 2007-04-06 |
| 1255475091 | Pediatric Neurosurgery Assoc At Children's Healthcare of Atlanta LLC | Neurological Surgery | 5455 Meridian Mark Rd, Suite 540, Atlanta, GA 30342 | 2007-02-16 |
| 1386714103 | J C Shirley Jr. | Dentist | 5455 Meridian Mark Rd, Suite 200, Atlanta, GA 30342 | 2006-11-09 |
| 1225063308 | Robert N Vincent | Pediatrics | 5455 Meridian Mark Rd, Ste 530, Atlanta, GA 30342 | 2006-07-11 |
| 1043247257 | Jack E Thomas Jr. | Dentist | 5455 Meridian Mark Rd, Ste 210, Atlanta, GA 30342 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614746 | Neuropsychology Associates of Georgia LLC | Clinical Neuropsychologist | 280 Interstate North Cir Se Ste 450, Atlanta, GA 30339-2451 | 2020-03-21 |
| 1023586773 | The Atlanta Psychology Group | Clinical Neuropsychologist | 3500 Piedmont Rd Ne Ste 740, Atlanta, GA 30305-1507 | 2018-11-09 |
| 1053850172 | S. Marilyn Miller | Clinical Neuropsychologist | 90 Fairlie St Nw, Suite 203, Atlanta, GA 30303-2127 | 2017-02-22 |
| 1457898371 | Tamara Weiss, M.d., LLC | Clinical Neuropsychologist | 1772 Century Blvd Ne Ste A, Atlanta, GA 30345-3396 | 2017-01-30 |
| 1689048076 | Laura Blackwell | Clinical Neuropsychologist | 5455 Meridian Marks Rd Ste 180, Atlanta, GA 30342-4716 | 2015-11-23 |
| 1306287412 | Negar Fani | Clinical Neuropsychologist | 101 Woodruff Cir Ste 4304, Atlanta, GA 30322-0001 | 2013-07-17 |
| 1629383799 | Aimilia Papazoglou | Clinical Neuropsychologist | 5825 Glenridge Dr Ste 1-133, Atlanta, GA 30328-7144 | 2010-08-13 |
| 1700113883 | Laura Lee Hoskins | Clinical Neuropsychologist | 2020 Peachtree Nw Rd, Atlanta, GA 30309-1426 | 2009-11-10 |
| 1831329077 | Dawn Linnea Ilardi | Clinical Neuropsychologist | 5455 Meridian Marks Rd Ne Ste 180, Atlanta, GA 30342-4716 | 2009-07-22 |
| 1174707756 | Catherine Hillary Rogers | Clinical Neuropsychologist | 280 Interstate North Cir Se, Suite 450, Atlanta, GA 30339-2450 | 2007-12-19 |
| 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.