AMINA PORTER (NPI# 1659433696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659433696 |
Entity Type | Individual |
Full Name | AMINA PORTER |
Credential | PHD |
Practice Address |
30 Warren St Se Atlanta GA 30317-2267 |
Mailing Address |
1077r Glendale Dr East Point GA 30344-2820 |
Practice Telephone | 4043736614 |
Mailing Telephone | 4044094500 |
Mailing Fax Number | 4047663589 |
Enumeration Date | 2006-12-15 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YP2500X |
Counselor Specialization: Professional |
LPC004768 | GA | Behavioral Health & Social Service Providers |
Y | 103T00000X | Psychologist | PSY003528 | GA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
977a Taylor St Sw, Conyers, GA 300125357 | 7709186677 | 7709186686 |
Street Address |
30 WARREN ST SE |
City | ATLANTA |
State | GA |
Zip Code | 30317-2267 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629082524 | Mary Virginia Acklin | Nurse Practitioner | 30 Warren St Se, Dekalb Grady Clinic, Atlanta, GA 30317-2267 | 2006-07-28 |
1790946325 | Yolanda Washington Tapp | Registered Nurse | 30 Warren St Se, Atlanta, GA 30317-2267 | 2008-06-17 |
1942417480 | Andre Shinabarger | Physician Assistant | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-05-16 |
1730305004 | Meridian Education Resource Group, Inc. | Clinic/Center | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-04-17 |
1437271095 | Carolyn W Brewster | Registered Nurse | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-04-04 |
1790806016 | Sherri Arnise Okpodu | Registered Nurse | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-04-03 |
1699809970 | Samuel W. Dooley Jr. | Internal Medicine | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-03-16 |
1891829883 | Henry Slater Kahn | Internal Medicine | 30 Warren St Se, Dekalb Grady Neighborhood Health Center, Atlanta, GA 30317-2267 | 2007-03-14 |
1508912809 | Weigong Zhou | Family Medicine | 30 Warren St Se, Atlanta, GA 30317-2267 | 2007-01-27 |
1396809216 | Betty Neal | Registered Nurse | 30 Warren St Se, Atlanta, GA 30317-2267 | 2006-12-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497391395 | Tara Lozano Thrutchley | Counselor | 2033 Hosea L Williams Drive Ne, Suite 2, Atlanta, GA 30317 | 2019-11-26 |
1689052326 | Pharmworks Group LLC | Pharmacy | 1860 Memorial Dr Se, Atlanta, GA 30317 | 2015-05-14 |
1891032157 | Carla Bernita Jones | Licensed Practical Nurse | 2064 Ridgedale Rd Ne, Atlanta, GA 30317 | 2013-01-07 |
1154428985 | Dekalb County Board of Health | Public Health or Welfare | 2006 Hosea Williams Dr., Atlanta, GA 30317 | 2006-09-20 |
1548228034 | Yuri Okuizumi Wu | Pediatrics | 35 Whitefoord Ave Se, Atlanta, GA 30317 | 2006-05-03 |
1093052359 | Third Day Ministry | Religious Nonmedical Practitioner | 2064 Ridgedale Rd Ne, Atlanta, GA 30317 | 2013-01-07 |
1548215254 | Adrian Gendell Bonser | Dentist | 30 Warren St, Atlanta, GA 30317 | 2006-05-23 |
1245284041 | Magdy Attia | Dentist | 30 Warren St, Atlanta, GA 30317 | 2006-05-19 |
1245845288 | Jennie Gray Mulligan | Social Worker | 1911 Hallman St Ne, Atlanta, GA 30317-1001 | 2020-09-15 |
1942837125 | Kathryn Caracappa Boulet | Counselor | 1942 Delano Dr Ne, Atlanta, GA 30317-1009 | 2020-03-26 |
Find all providers in zip 30317 |
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.