ELAINE A THOMAS PSYD LLC (NPI# 1447584578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447584578 |
| Entity Type | Organization |
| Organization Name | ELAINE A THOMAS PSYD LLC |
| Practice Address |
316 Alexander St Se Suite 6 Marietta GA 30060-8217 |
| Practice Telephone | 7702160460 |
| Practice Fax Number | 6785810146 |
| Mailing Telephone | 7702160460 |
| Mailing Fax Number | 6785810146 |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2010-03-17 |
| Authorized Official Name | DR. ELAINE ANGELA THOMAS (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Telephone | 7702160460 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY#2936 | GA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY#2936 | GA | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY#2936 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 583311126A | 05 |
| Street Address |
316 ALEXANDER ST SE SUITE 6 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-8217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750328977 | David H Deckner-glick | Social Worker | 316 Alexander St Se, Suite 3, Marietta, GA 30060-2001 | 2006-05-31 |
| 1174982474 | Genesis of Life Inc | Counselor | 316 Alexander St Se, Ste 2, Marietta, GA 30060-8217 | 2016-02-15 |
| 1336508639 | Brittany Mosley | Counselor | 316 Alexander St Se, Ste 2, Marietta, GA 30060-8217 | 2016-02-15 |
| 1134585631 | William G Carroll | Counselor | 316 Alexander St Se, Marietta, GA 30060-8217 | 2016-01-13 |
| 1255653606 | Iris Waldon Banks | Social Worker | 316 Alexander St Se, Ste. #8, Marietta, GA 30060-8217 | 2010-02-25 |
| 1790013696 | Yolande M. Minor | Behavioral Analyst | 316 Alexander St Se, Marietta, GA 30060-8217 | 2009-12-03 |
| 1386806412 | Triad Ep, PC | Social Worker | 316 Alexander St Se, Suite 6, Marietta, GA 30060-2001 | 2008-06-30 |
| 1881869972 | Elaine Angela Thomas | Psychologist | 316 Alexander St Se, Suite 6, Marietta, GA 30060-2001 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316269350 | Caitlin Herzinger Delfs | Psychologist | 4994 Lower Roswell Rd Ste 10, Marietta, GA 30068-4332 | 2010-02-18 |
| 1578512273 | Melissa Cannon Lang | Psychologist | 54 South Ave Se, Marietta, GA 30060-2358 | 2006-05-09 |
| 1104152453 | Steven Gary Berger | Psychologist | 4939 Lower Roswell Rd, Bldg B - 202, Marietta, GA 30068-4338 | 2009-10-21 |
| 1891939807 | Elizabeth Yeager Turner | Psychologist | 3901 Roswell Rd, Suite 210, Marietta, GA 30062-8809 | 2009-04-22 |
| 1184826901 | Wanda Marie Heath | Psychologist | 54 South Ave Se, Marietta, GA 30060-2358 | 2007-06-04 |
| 1740490465 | Dana Davis Weinstein | Psychologist | 54 South Ave Se, Marietta, GA 30060-2358 | 2007-05-23 |
| 1982820825 | Holly Keahey Middleton | Psychologist | 141 Village Pkwy Ne, Building 5, Suite E, Marietta, GA 30067-1514 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538693254 | Rachel Yosick | Psychologist | 520 Wembley Cir, Sandy Springs, GA 30328-6753 | 2017-04-19 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1245655893 | Tiffany Gilmore Randell | Psychologist | 101 Devant Street, Office 401, Fayetteville, GA 30214 | 2014-02-19 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1720409493 | Tonya Favors | Psychologist | 311 S Lee St, Apt C, Americus, GA 31709-3971 | 2013-12-26 |
| 1912336546 | Francine Adams | Psychologist | 324 Trace Ln, Lawrenceville, GA 30046-2896 | 2013-11-04 |
| 1447542691 | Erin Marie Jones | Psychologist | 1256 Briarcliff Rd Ne Ste 322e, Atlanta, GA 30306-2636 | 2011-05-06 |
| 1164729901 | Tiffany Whitworth | Psychologist | 4139 Hospital Dr Ne, Covington, GA 30014-2565 | 2011-02-14 |
| 1548573264 | Kimberley Blaker Saye | Psychologist | 4695 Mahonia Way Nw, Acworth, GA 30102-3575 | 2010-07-22 |
| 1831323849 | Shital Pramod Gaitonde | Psychologist | 1003 Bombay Ln, Roswell, GA 30076-5820 | 2009-05-05 |
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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.