DR. NATHANIEL ANDREW WILSON III


Address: 1401 Peachtree St, Suite 210, Atlanta, GA 30309-3023
Phone: 4045509981

DR. NATHANIEL ANDREW WILSON III (NPI# 1265530414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265530414
Entity Type Individual
Full Name DR. NATHANIEL ANDREW WILSON III
Credential PSY.D.
Practice Address 1401 Peachtree St
Suite 210
Atlanta
GA 30309-3023
Mailing Address Po Box 7730
Atlanta
GA 30357-0730
Practice Telephone 4045509981
Practice Fax Number 4044754880
Mailing Telephone 4045509981
Mailing Fax Number 4044754880
Enumeration Date 2006-09-20
Last Update Date 2013-03-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY002857 GA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 624392123A 05

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Office Location

Street Address 1401 PEACHTREE ST
SUITE 210
City ATLANTA
State GA
Zip Code 30309-3023

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NPI Name Taxonomy Address Enumeration
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1720218795 Atlanta Consulting and Psychological Services, LLC Preferred Provider Organization 1401 Peachtree St, Suite 500, Atlanta, GA 30309-3023 2009-07-23
1831346600 Senior Homecare By A Circle of Friends Home Health 1401 Peachtree St, Suite 500-85, Atlanta, GA 30309-3023 2008-08-25
1982803326 Hurst Chiropractic Chiropractor 1401 Peachtree St, Suite 160, Atlanta, GA 30309-3023 2007-07-16
1760684617 Dr. Jay Lerner Chiropractor 1401 Peachtree St, Suite 160, Atlanta, GA 30309-3023 2007-06-04
1366580102 Brady F Hurst Chiropractor 1401 Peachtree St, Suite 160, Atlanta, GA 30309-3023 2007-02-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396382354 Astoria Dentistry LLC Dentist 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 2019-12-09
1487133740 S2 Telehealth Technologies, LLC Psychiatry & Neurology 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 2018-08-08
1841782620 Janie Mardis Social Worker 3 Park Ln Ne, Apt H, Atlanta, GA 30309 2018-06-06
1083102842 Veronica L Bentley Specialist/Technologist, Other 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 2018-04-27
1427566363 Net Medical Corp Chiropractor 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 2018-01-12
1871000463 Mary James (jamie) Johnson Counselor 1100 Spring Street, Suite 380, Atlanta, GA 30309 2018-01-04
1306377817 Aliyah Lamis Scott Social Worker 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 2017-03-26
1013450774 Caroline Hallen Nurse Practitioner 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 2016-11-29
1528501723 Ant-aging Queen Nutritionist 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 2016-11-21
1790231439 Nurse 2 Health Home Care LLC Home Health 1075 Peachtree Street Ne, Atlanta, GA 30309 2016-09-01
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

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1518513738 Narjerah Delk Psychologist 1226 Anchor Ter Sw, Atlanta, GA 30311-3402 2019-08-13
1043862907 Lauren Barbara Mcsweeney Psychologist 12 Executive Park Dr Ne Ste 3000, Atlanta, GA 30329-2206 2019-07-11
1194285106 Heather Ansari Psychologist 3715 Northside Pkwy Nw Ste 605, Atlanta, GA 30327-2886 2019-03-25
1588130991 Emma Stein Psychology LLC Psychologist 275 Collier Rd Nw Ste 470, Atlanta, GA 30309-1711 2018-10-23
1073004081 Wendi Wilson Howard Psychologist 2931 Paces Ferry Rd Se Ste 202e, Atlanta, GA 30339-3732 2018-05-24
1861980682 Charlotte Yasinski Psychologist 12 Executive Park Dr Ne Fl 3, Atlanta, GA 30329-2206 2018-04-26
1639692478 Lindsey Swanson Schriefer Psychologist 1100 Johnson Ferry Rd Ste 230, Atlanta, GA 30342-1733 2017-07-24
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City ATLANTA
Zip Code 30309

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Dataset Information

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.

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