DR. ELAINE L LEVIN (NPI# 1508082850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508082850 |
| Entity Type | Individual |
| Full Name | DR. ELAINE L LEVIN |
| Credential | PH.D. |
| Practice Address |
3131 E Shadowlawn Ave Ne Atlanta GA 30305-2405 |
| Practice Telephone | 4042371133 |
| Mailing Telephone | 4042371133 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
575 | GA | Behavioral Health & Social Service Providers |
| Street Address |
3131 E SHADOWLAWN AVE NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30305-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730301912 | David Karol Gore | Psychologist | 3131 E Shadowlawn Ave Ne, Atlanta, GA 30305-2405 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981322 | Gerald E Roettger | Physical Therapist | 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 | 2020-08-06 |
| 1689202681 | Pt Hills Place Terraces LLC | Assisted Living Facility | 229 Peachtree Hills Place, Atlanta, GA 30305 | 2020-03-27 |
| 1043704299 | Alyssa Elrod Utz | Pharmacist | 3495 Piedmont Road, First Floor, Suite 110, Atlanta, GA 30305 | 2018-06-20 |
| 1508373689 | Kathryn Gohde | Counselor | 3525 Piedmont Rd Nw, Bldg 7 Suite 408, Atlanta, GA 30305 | 2018-01-10 |
| 1386195154 | Ryan Gabriel Wilkins | Physical Therapist | 550 Pharr Rd Ne Ste 550, Atlanta, GA 30305 | 2016-10-17 |
| 1821440587 | Monica Martinez Dicristina | Counselor | 3525 Piedmont Road, Building 7, Suite 408, Atlanta, GA 30305 | 2016-07-06 |
| 1164879532 | Brittany Nicole Albritton | Physical Therapist | 3169 Maple Drive Ne, Atlanta, GA 30305 | 2016-05-16 |
| 1588039275 | Alaina Blevins | Physician Assistant | 240 Pharr Rd Ne, Atlanta, GA 30305 | 2015-12-07 |
| 1558750141 | A2h2 | Clinic/Center | 2909 Peachtree Rd; Nw;, Atlanta, GA 30305 | 2015-01-20 |
| 1144619016 | We Up Home Health Services LLC | Clinic/Center | 2909 Peachtree Rd; Nw, Atlanta, GA 30305 | 2015-01-15 |
| Find all providers in zip 30305 | ||||
| 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 |
|---|---|---|---|---|
| 1487059564 | Peachtree Family Psychiatry Clinic | Psychologist | 1776 Peachtree St Nw, Suite 310 North, Atlanta, GA 30309-2307 | 2014-10-30 |
| 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 |
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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.