JILL ELIZABETH GRESHAM (NPI# 1790271633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790271633 |
Entity Type | Individual |
Full Name | JILL ELIZABETH GRESHAM |
Credential | RBT |
Practice Address |
750 Hammond Dr Ste 100 Atlanta GA 30328-5532 |
Practice Telephone | 6787535598 |
Mailing Telephone | 6787535598 |
Enumeration Date | 2018-07-03 |
Last Update Date | 2018-07-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
RBT-16-20925 | GA | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841513629 | Jill Maree Gresham | Speech-Language Pathologist | 107 Tremont St, Hopedale, IL 61747-7525 | 2010-03-08 |
1336395961 | Jill Cole Gresham | Audiologist | 9430 Park West Blvd, Suite 330, Knoxville, TN 37923-4200 | 2008-08-14 |
Street Address |
750 HAMMOND DR STE 100 |
City | ATLANTA |
State | GA |
Zip Code | 30328-5532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033767322 | Jerra Hafferty | Behavior Technician | 750 Hammond Dr Ste 100, Atlanta, GA 30328-5532 | 2019-08-29 |
1114575487 | Margaux Haley | Behavioral Analyst | 750 Hammond Dr Ste 100, Atlanta, GA 30328-5532 | 2019-08-29 |
1811553878 | Emily Lynn Starr | Behavioral Analyst | 750 Hammond Dr Ste 100, Atlanta, GA 30328-5532 | 2019-05-15 |
1841855517 | Kala Mahadevan | Behavior Technician | 750 Hammond Dr Ste 100, Atlanta, GA 30328-5532 | 2019-05-07 |
1578041372 | Aubree Bowen | Behavior Technician | 750 Hammond Dr Ste 100, Atlanta, GA 30328-5532 | 2018-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
Find all providers in zip 30328 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114536372 | The Mindful Match, LLC | Clinic/Center | 528b Angier Ave Ne, Atlanta, GA 30308-2902 | 2020-07-23 |
1427666817 | Atlanta Child and Family Therapy, LLC | Clinic/Center | 2144 Kodiak Dr Ne, Atlanta, GA 30345-4150 | 2020-07-21 |
1790204204 | Case Support Services | Clinic/Center | 4272 Sublime Trl, Atlanta, GA 30349-8883 | 2017-09-15 |
1922531938 | Scott Psychological Services, LLC | Clinic/Center | 5 Concourse Pkwy, Atlanta, GA 30328-5350 | 2017-04-06 |
1760710271 | Tk Consulting, Inc. | Clinic/Center | 3781 Presidential Pkwy Ste 111d, Atlanta, GA 30340-3773 | 2009-11-20 |
1215561139 | Healing and Renewal Wellness | Clinic/Center | 464 Cherokee Ave Se Ste 202, Atlanta, GA 30312-3260 | 2020-02-29 |
1588204374 | Berribizi LLC | Clinic/Center | 41 Lenox Pointe Ne Ste A, Atlanta, GA 30324-7424 | 2020-01-09 |
1083001796 | T2s Enterprises, LLC | Clinic/Center | 2001 Martin Luther King Jr Dr Sw, Suite 540, Atlanta, GA 30310-1101 | 2015-04-20 |
1730426198 | Magnolia Behavioral Health, Inc. | Clinic/Center | 3350 Northlake Pkwy Ne, Atlanta, GA 30345-2204 | 2013-01-04 |
1639498884 | The Simple Life Services, Inc. | Clinic/Center | 1827 Powers Ferry Rd Se, Bldg 1 Ste 250, Atlanta, GA 30339-5621 | 2010-05-27 |
Find all providers in ATLANTA |
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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.