DR. MICHAEL SEAN CONLEY (NPI# 1316010192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316010192 |
Entity Type | Individual |
Full Name | DR. MICHAEL SEAN CONLEY |
Other Name | MICHAEL S CONLEY M.D., P.C. |
Credential | M.D. |
Practice Address |
315 W Ponce De Leon Ave Suite 360 Decatur GA 30030 |
Mailing Address |
315 W Ponce De Leon Ave Suite 360 Decatur GA 30030-2400 |
Practice Telephone | 4046814100 |
Practice Fax Number | 4046812300 |
Mailing Telephone | 4046814100 |
Mailing Fax Number | 4046812300 |
Enumeration Date | 2006-11-17 |
Last Update Date | 2015-05-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
043583 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000752606A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437328440 | Michael Conley | Psychologist | 5804 Whispering Meadow Ln, Durham, NC 27712-3714 | 2008-02-23 |
1881813590 | Michael J Conley | Dentist | 935 N Detroit St, Warsaw, IN 46580-2914 | 2007-04-24 |
1427083781 | Michael Howard Conley | Dentist | 2413 Grant Ave, St Albans, WV 25177 | 2006-07-12 |
1750759007 | Michael Christopher Conley | Nurse Practitioner | 709 Walnut St, Chattanooga, TN 37402 | 2015-09-03 |
1194105601 | Michael Conley | Internal Medicine | 1000 Regency Ct Ste 200, Toledo, OH 43623 | 2015-06-01 |
1952647638 | Michael James Conley | Nurse Practitioner | 3401 Centre Lake Dr Ste 470, Ontario, CA 91761-1254 | 2012-12-27 |
1306130133 | Michael Conley | Pharmacist | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2011-06-09 |
1558582973 | Michael Joseph Conley | Counselor | 17 93rd St, Keene, NH 03431-3748 | 2007-05-02 |
1700979499 | Michael Max Conley | Anesthesiology | 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 | 2006-10-02 |
1487697470 | Michael Conley | Radiology | 5901 Technology Center Dr, Indianapolis, IN 46278-6013 | 2006-06-14 |
Street Address |
315 W PONCE DE LEON AVE SUITE 360 |
City | DECATUR |
State | GA |
Zip Code | 30030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902878853 | Sharman Dyan Colosetti | Social Worker | 315 W Ponce De Leon Ave, Suite 840, Decatur, GA 30030-2400 | 2006-02-05 |
1063045748 | Jacqueline Frances Conway | Counselor | 315 W Ponce De Leon Ave, Decatur, GA 30030-2400 | 2020-02-20 |
1821621533 | Lewis Ponzo | Counselor | 315 W Ponce De Leon Ave, Decatur, GA 30030-2400 | 2020-02-20 |
1114429412 | Revere Counseling and Care Management LLC | Social Worker | 315 W Ponce De Leon Ave, Suite 370, Decatur, GA 30030 | 2018-03-02 |
1689182263 | Stephanie Lynn Roach | Social Worker | 315 W Ponce De Leon Ave, Suite 370, Decatur, GA 30033 | 2018-01-17 |
1659804300 | Authentic Living | Counselor | 315 W Ponce De Leon Ave, Suite 835, Decatur, GA 30030-2400 | 2017-04-10 |
1205379773 | Katie Leikam | Social Worker | 315 W Ponce De Leon Ave, Suite 847, Decatur, GA 30030-2400 | 2016-11-30 |
1144680562 | Sarra Everett | Counselor | 315 W Ponce De Leon Ave, Suit 440, Decatur, GA 30030-2400 | 2016-02-26 |
1821495987 | Byers Psychological Services LLC | Psychologist | 315 W Ponce De Leon Ave, Suite 1051, Decatur, GA 30030-2400 | 2014-12-04 |
1205182151 | Rainbow Counseling & Consultation Services LLC | Psychologist | 315 W Ponce De Leon Ave, Decatur Court Ste 552, Decatur, GA 30030-2400 | 2012-07-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
Find all providers in zip 30030 |
Taxonomy Code | 2084P0805X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Geriatric Psychiatry |
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467634915 | Neil Kahn M.d. | Psychiatry & Neurology | 2711 Irvin Way, Suite 211, Decatur, GA 30030-5405 | 2007-11-27 |
1942238480 | Susan Gay Glover | Psychiatry & Neurology | 1670 Clairmont Rd, Atlanta Vamc, #116-a, Decatur, GA 30033-4004 | 2006-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548513211 | Salveo Integrative Health | Psychiatry & Neurology | 301 Gwinnett Dr., Lawrenceville, GA 30046 | 2012-10-18 |
1821386855 | Outreach Psychiatric Associates, LLC | Psychiatry & Neurology | 250 Constitution Blvd, Ste 203, Lawrenceville, GA 30046-8432 | 2011-07-12 |
1336324144 | Leo O Noragbon | Psychiatry & Neurology | 728 Nightwind Way, Stockbridge, GA 30281-9134 | 2007-12-31 |
1457535155 | Michael S Conley M.d., P.C. | Psychiatry & Neurology | 285 Boulevard Ne Ste 315, Atlanta, GA 30312-4213 | 2007-12-18 |
1508087792 | Psychiatric Services of America | Psychiatry & Neurology | 311 Gwinnett Dr., Lawrenceville, GA 30046 | 2007-05-02 |
1184706996 | Jae Pak PC | Psychiatry & Neurology | 2160 Fountain Drive, 200, Snellville, GA 30078-6783 | 2006-10-20 |
1194811174 | Adriana P Hermida | Psychiatry & Neurology | 826 Fieldstone Pkwy, Jonesboro, GA 30236-7500 | 2006-10-05 |
1689765844 | William Maffitt Mcdonald | Psychiatry & Neurology | Emory Division of Geriatric Psychiatry, Wesley Woods Health Center, 1841 Clifton Road Ne, Atlanta, GA 30329 | 2006-09-27 |
1760405211 | Frank Wayne Brown | Psychiatry & Neurology | 1899 E Gate Dr, Stone Mountain, GA 30087-1912 | 2006-07-25 |
1740280551 | Jae H Pak | Psychiatry & Neurology | 2160 Fountain Dr, Suite 200, Snellville, GA 30078-7022 | 2005-07-22 |
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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.