DR. EKATERINA STAIKOVA (NPI# 1255703724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255703724 |
| Entity Type | Individual |
| Full Name | DR. EKATERINA STAIKOVA |
| Practice Address |
12 Executive Park Drive Decatur GA 30329-2206 |
| Mailing Address |
7303 Calibre Park Dr #304 Durham NC 27707-5673 |
| Practice Telephone | 4047785943 |
| Mailing Telephone | 3476109192 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 4850 | NC | Behavioral Health & Social Service Providers |
| Street Address |
12 EXECUTIVE PARK DRIVE |
| City | DECATUR |
| State | GA |
| Zip Code | 30329-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508279134 | Daniel Matthew Schachter | Internal Medicine | 12 Executive Park Drive, Department of Neurology, 2nd Floor, Decatur, GA 30029 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| 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 |
|---|---|---|---|---|
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1316451719 | Zainab Delawalla | Clinical Neuropsychologist | 125 Clairemont Ave Ste 510, Decatur, GA 30030-2504 | 2017-11-21 |
| 1215326160 | Tristan Young | Clinical Neuropsychologist | 1276 Mcconnell Dr Ste C, Decatur, GA 30033-3506 | 2015-01-15 |
| 1003957879 | Center for Cognitive Rehabilitation | Clinical Neuropsychologist | 1276 Mcconnell Dr, Suite C, Decatur, GA 30033-3506 | 2007-02-12 |
| 1376610261 | Pate & Culp Psychological Associates, L.L.C. | Clinical Neuropsychologist | 2450 Lawrenceville Hwy Ste 101, Decatur, GA 30033-3226 | 2006-11-29 |
| 1518991967 | Joseph T. Elder | Clinical Neuropsychologist | 1439 Mclendon Dr Ste D, Decatur, GA 30033-1841 | 2006-07-10 |
| 1821037953 | Patricia O'connell | Clinical Neuropsychologist | 2440 Lawrenceville Hwy, Suite 200, Decatur, GA 30033-3226 | 2006-06-05 |
| 1295229359 | Kristian Peter Nitsch | Clinical Neuropsychologist | 1942 Clairmont Rd, Decatur, GA 30033-3406 | 2018-06-21 |
| 1881149243 | Susan Shwartz | Clinical Neuropsychologist | 1942 Clairmont Rd, Decatur, GA 30033-3406 | 2016-08-16 |
| 1710321229 | Center for Neurobehavioral Disorders, LLC | Clinical Neuropsychologist | 2490 N Water St, Suite 9, Decatur, IL 62526-4251 | 2013-04-26 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on DR. EKATERINA STAIKOVA.
| 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.