MICHELE J. RUSIN, PH.D PC


Address: 1776 Briarcliff Rd Ne, Atlanta, GA 30306-2106
Phone: 4045583639

MICHELE J. RUSIN, PH.D PC (NPI# 1396924692) 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) 1396924692
Entity Type Organization
Organization Name MICHELE J. RUSIN, PH.D PC
Practice Address 1776 Briarcliff Rd Ne
Atlanta
GA 30306-2106
Mailing Address Po Box 133207
Atlanta
GA 30333-3207
Practice Telephone 4045583639
Mailing Telephone 4045583639
Mailing Fax Number 7704581596
Enumeration Date 2007-11-02
Last Update Date 2007-11-02
Authorized Official Name MR. KENNETH WARNER (BILLING ADMINISTRATOR)
Authorized Official Telephone 7704581594
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TR0400X Psychologist
Specialization: Rehabilitation
1078 GA Behavioral Health & Social Service Providers

Office Location

Street Address 1776 BRIARCLIFF RD NE
City ATLANTA
State GA
Zip Code 30306-2106

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1952778565 Kristen Jugs Speech-Language Pathologist 609 Virginia Ave Ne Apt 4108, None, Atlanta, GA 30306 2015-08-31
1962749655 Robert B Tersak Pharmacist 1001 Ponce De Leon Avenue Ne, Atlanta, GA 30306 2013-01-15
1730434812 Poonam Bhakta Hurley Physical Therapist 842 N Highland Ave Ne Ste Ter, Atlanta, GA 30306 2012-07-16
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Taxonomy Information

Taxonomy Code 103TR0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457758229 Kirsten Allen Psychologist 80 Peachtree Park Dr Ne, Atlanta, GA 30309-1304 2014-11-22
1124065818 Anna B Moore Psychologist 1441 Clifton Rd Ne, Atlanta, GA 30322-1004 2006-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649349689 Michele Jean Rusin Psychologist 1276 Mcconnell Drive, Suite C, Decatur, GA 30033-3506 2006-11-06
1073646766 Gateway Behavioral Health Services Psychologist 275 First Street Extention, Springfield, GA 31329 2007-03-13

Competitor

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City ATLANTA
Zip Code 30306

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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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