GARY SANTAVICCA, PH.D. AND ASSOCIATES (NPI# 1518171222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518171222 |
| Entity Type | Organization |
| Organization Name | GARY SANTAVICCA, PH.D. AND ASSOCIATES |
| Practice Address |
340 Boulevard Ne Suite 640 Atlanta GA 30312-1273 |
| Practice Telephone | 4046531117 |
| Practice Fax Number | 4048800133 |
| Mailing Telephone | 4046531117 |
| Mailing Fax Number | 4048800133 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. AYANNA RULE (INSURANCE MANAGER) |
| Authorized Official Telephone | 4046531117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY001224 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00423178A | 05 | |
| GA | 00423178B | 05 |
| Street Address |
340 BOULEVARD NE SUITE 640 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312-1273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225026388 | Patricia A Lloyd | Internal Medicine | 340 Boulevard Ne, Suite 441, Atlanta, GA 30312-1285 | 2005-10-12 |
| 1265895569 | Intown Pediatric Behavioral Wellness LLC | Psychologist | 340 Boulevard Ne, Suite 345, Atlanta, GA 30312-1273 | 2016-04-04 |
| 1780043976 | Arlen Versteeg Phd PC | Psychologist | 340 Boulevard Ne, Ste 345, Atlanta, GA 30312-1273 | 2016-02-16 |
| 1063846509 | Jennifer Lynn Poulos | Psychologist | 340 Boulevard Ne, Suite 345, Atlanta, GA 30312-1273 | 2013-09-01 |
| 1063751014 | Chantay Golson | Counselor | 340 Boulevard Ne, Suite 611, Atlanta, GA 30312-1273 | 2013-02-12 |
| 1528316163 | Eversley Devon Pemberton | Psychologist | 340 Boulevard Ne, 345, Atlanta, GA 30312-1273 | 2012-08-28 |
| 1669731121 | Larutan Medical | Family Medicine | 340 Boulevard Ne, Suite 318, Atlanta, GA 30312-1273 | 2012-05-03 |
| 1295018760 | John David Olsen | Pharmacist | 340 Boulevard Ne, Ste 143, Atlanta, GA 30312-1273 | 2011-09-21 |
| 1598051054 | The Lung Centers of Georgia | Specialist | 340 Boulevard Ne, Suite 210, Atlanta, GA 30312-1273 | 2011-06-23 |
| 1528399045 | Nison H. Shleifer Md Pa | Internal Medicine | 340 Boulevard Ne, Suite 530, Atlanta, GA 30312-1273 | 2010-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072015 | Karen A Foster | Psychologist | 2115 Dee Dee Muse Ln Nw, Atlanta, GA 30318-1503 | 2020-08-08 |
| 1154942084 | Martie Camille Belle | Psychologist | 1462 Clifton Rd Ne Ste 235, Atlanta, GA 30322-1063 | 2020-05-01 |
| 1518513738 | Narjerah Delk | Psychologist | 1226 Anchor Ter Sw, Atlanta, GA 30311-3402 | 2019-08-13 |
| 1043862907 | Lauren Barbara Mcsweeney | Psychologist | 12 Executive Park Dr Ne Ste 3000, Atlanta, GA 30329-2206 | 2019-07-11 |
| 1194285106 | Heather Ansari | Psychologist | 3715 Northside Pkwy Nw Ste 605, Atlanta, GA 30327-2886 | 2019-03-25 |
| 1588130991 | Emma Stein Psychology LLC | Psychologist | 275 Collier Rd Nw Ste 470, Atlanta, GA 30309-1711 | 2018-10-23 |
| 1073004081 | Wendi Wilson Howard | Psychologist | 2931 Paces Ferry Rd Se Ste 202e, Atlanta, GA 30339-3732 | 2018-05-24 |
| 1861980682 | Charlotte Yasinski | Psychologist | 12 Executive Park Dr Ne Fl 3, Atlanta, GA 30329-2206 | 2018-04-26 |
| 1639692478 | Lindsey Swanson Schriefer | Psychologist | 1100 Johnson Ferry Rd Ste 230, Atlanta, GA 30342-1733 | 2017-07-24 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
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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.