POPULATIONS AND INTERVENTIONS TEAM COMPANY (PITC) (NPI# 1700305646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700305646 |
| Entity Type | Organization |
| Organization Name | POPULATIONS AND INTERVENTIONS TEAM COMPANY (PITC) |
| Practice Address |
3182 Berthas Overlook Douglasville GA 30135-8458 |
| Practice Telephone | (610) 310-9707 |
| Practice Fax Number | 4708750083 |
| Mailing Telephone | 6103109707 |
| Mailing Fax Number | 4708750083 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Authorized Official Name | DR. MERCEDES MERRITT WILLIAMS (CEO/OWNER) |
| Authorized Official Telephone | 6783109707 |
| Authorized Official Credential | DBH, MPH, ABVE, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
28315 | IN | Behavioral Health & Social Service Providers |
| N | 405300000X | Prevention Professional | FL | Other Service Providers | |
| Y | 103K00000X | Behavioral Analyst | 40044 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730557729 | Populations and Interventions Team Company (pitc) | Preventive Medicine | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2015-09-08 |
| 1285144568 | Populations and Interventions Team Company (pitc) | Preventive Medicine | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-10-02 |
| 1992224869 | Populations and Interventions Team Company (pitc) | Psychologist | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-12 |
| 1285153122 | Populations and Interventions Team Company (pitc) | Specialist | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-12 |
| 1184143042 | Populations and Interventions Team Company (pitc) | Rehabilitation Counselor | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-12 |
| Street Address |
3182 BERTHAS OVERLOOK |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-8458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730557729 | Populations and Interventions Team Company (pitc) | Preventive Medicine | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2015-09-08 |
| 1285144568 | Populations and Interventions Team Company (pitc) | Preventive Medicine | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-10-02 |
| 1730608522 | Populations and Interventions Team Company | Prevention Professional | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-13 |
| 1992224869 | Populations and Interventions Team Company (pitc) | Psychologist | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-12 |
| 1285153122 | Populations and Interventions Team Company (pitc) | Specialist | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-12 |
| 1184143042 | Populations and Interventions Team Company (pitc) | Rehabilitation Counselor | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-12 |
| 1952820086 | Mercedes Merritt Williams | Psychologist | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242915 | Deborah Tiana Dunn | Behavioral Analyst | 9559 Highway 5 Ste 601, Douglasville, GA 30135-1572 | 2020-10-15 |
| 1700441029 | Jasmine Pierra Tate | Behavioral Analyst | 9559 Highway 5 Ste 601, Douglasville, GA 30135-1572 | 2019-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346664 | Dominique Infiniti Jones | Behavioral Analyst | 512 Windmont Dr Ne, Brookhaven, GA 30329-1041 | 2020-11-04 |
| 1720689318 | Javaris Paggett | Behavioral Analyst | 190 Handley Rd Ste B, Tyrone, GA 30290-2178 | 2020-11-02 |
| 1497355812 | Unique Solutions Behavior Services | Behavioral Analyst | 4258 Holliday Rd, Atlanta, GA 30349-8849 | 2020-10-26 |
| 1922607985 | Steps, LLC | Behavioral Analyst | 1321 Bramble Rd Ne, Atlanta, GA 30329-3503 | 2020-10-21 |
| 1699381475 | James E Faison | Behavioral Analyst | 2270 Dunwoody Xing, Apt B, Atlanta, GA 30338-7319 | 2020-09-17 |
| 1679188015 | Soracha Orourke | Behavioral Analyst | 880 Glenwood Ave Se, Atlanta, GA 30316-1825 | 2020-09-12 |
| 1336753862 | Megan Boucher | Behavioral Analyst | 5825 Glenridge Dr Ste 208, Atlanta, GA 30328-5387 | 2020-09-02 |
| 1346853975 | Jessica Bernstein | Behavioral Analyst | 500 Vinington Court, Atlanta, GA 30350 | 2020-08-24 |
| 1669084398 | Mallory Moore | Behavioral Analyst | 102 Mary Alice Park Rd Ste 304, Cumming, GA 30040-2683 | 2020-08-24 |
| 1619587631 | Ashaki Felix | Behavioral Analyst | 120 Millbrook Village Dr, Tyrone, GA 30290-3605 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
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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.