PEACHTREE FAMILY PSYCHIATRY CLINIC (NPI# 1487059564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487059564 |
| Entity Type | Organization |
| Organization Name | PEACHTREE FAMILY PSYCHIATRY CLINIC |
| Practice Address |
1776 Peachtree St Nw Suite 310 North Atlanta GA 30309-2307 |
| Practice Telephone | 4042498496 |
| Mailing Telephone | 4042498496 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |
| Authorized Official Name | DR. YASSAR KANAWATI (PSYCHIATRIST) |
| Authorized Official Telephone | 7703800635 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
49237 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1776 PEACHTREE ST NW SUITE 310 NORTH |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376697037 | Nancy J Strauch | Psychiatry & Neurology | 1776 Peachtree St Nw, Ste 310n, Atlanta, GA 30309-2307 | 2007-01-22 |
| 1396282182 | Integrative Wellness Centers, Inc | Internal Medicine | 1776 Peachtree St Nw, Suite 318n, Atlanta, GA 30309-2307 | 2017-01-31 |
| 1326368879 | Born Chiropractic and Massage Studio | Chiropractor | 1776 Peachtree St Nw, Atlanta, GA 30309-2307 | 2010-06-07 |
| 1144349614 | Peachtree Ear, Nose & Throat Center, LLC | Specialist | 1776 Peachtree St Nw, North Tower, Suite 260, Atlanta, GA 30309-2307 | 2007-03-28 |
| 1184756322 | Latin American Translators Network | Interpreter | 1776 Peachtree St Nw, North Tower, Suite 406, Atlanta, GA 30309-2307 | 2007-03-12 |
| 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 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508082850 | Elaine L Levin | Psychologist | 3131 E Shadowlawn Ave Ne, Atlanta, GA 30305-2405 | 2007-04-17 |
| 1477814242 | A. Benjamin Eubanks, Md, LLC | Psychologist | 2751 Buford Hwy Ne, Suite 204, Atlanta, GA 30324-3207 | 2012-06-07 |
| 1467611087 | David William Tascarella | Psychologist | 3975 Roswell Rd Ne, Atlanta, GA 30342-4117 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982813697 | Augusta Area Psychiatric Associates | Psychologist | 1505 Winter St, Bldg C, Augusta, GA 30904-4819 | 2007-05-21 |
| 1992911234 | Gwendolyn Moddrell Md PC | Psychologist | 247 W Main St # B, Swainsboro, GA 30401-3163 | 2007-05-15 |
| 1093041584 | Rockdale Psychiatric Associates PC | Psychologist | 1397 Manchester Dr Ne, Conyers, GA 30012-3882 | 2009-10-19 |
| 1578721189 | Insight Psychotherapy & Assessment Services | Psychologist | 1908 Dawson Rd, Albany, GA 31707-3306 | 2008-05-30 |
| 1801054739 | Scott Snyder, M.d., P.C. | Psychologist | 1999 Prince Ave, Athens, GA 30606-6013 | 2008-05-28 |
| 1851511851 | Institute for Behavioral Medicine | Psychologist | 696 Concord Rd Se, Smyrna, GA 30082-2629 | 2007-05-01 |
Please comment or provide details below to improve the information on PEACHTREE FAMILY PSYCHIATRY CLINIC.
| 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.