DR. MICHELE JEAN RUSIN (NPI# 1649349689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649349689 |
Entity Type | Individual |
Full Name | DR. MICHELE JEAN RUSIN |
Credential | PH.D., ABPP |
Practice Address |
1276 Mcconnell Drive Suite C Decatur GA 30033-3506 |
Mailing Address |
Po Box 133207 Atlanta GA 30333-3207 |
Practice Telephone | 4049299009 |
Practice Fax Number | 4049299005 |
Mailing Telephone | 4049299009 |
Mailing Fax Number | 4049299005 |
Enumeration Date | 2006-11-06 |
Last Update Date | 2012-01-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
01078 | GA | Behavioral Health & Social Service Providers |
Street Address |
1276 MCCONNELL DRIVE SUITE C |
City | DECATUR |
State | GA |
Zip Code | 30033-3506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093858854 | John R Sass | Clinical Neuropsychologist | 1276 Mcconnell Drive, Suite C, Decatur, GA 30033-3506 | 2007-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
Find all providers in zip 30033 |
Taxonomy Code | 103TR0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902370299 | Julie Ann Marsh | Psychologist | 7120 W. William St., Decatur, IL 62522 | 2019-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457758229 | Kirsten Allen | Psychologist | 80 Peachtree Park Dr Ne, Atlanta, GA 30309-1304 | 2014-11-22 |
1396924692 | Michele J. Rusin, Ph.d PC | Psychologist | 1776 Briarcliff Rd Ne, Atlanta, GA 30306-2106 | 2007-11-02 |
1124065818 | Anna B Moore | Psychologist | 1441 Clifton Rd Ne, Atlanta, GA 30322-1004 | 2006-06-01 |
1073646766 | Gateway Behavioral Health Services | Psychologist | 275 First Street Extention, Springfield, GA 31329 | 2007-03-13 |
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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.