POONAM A PATEL (NPI# 1801496864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801496864 |
| Entity Type | Individual |
| Full Name | POONAM A PATEL |
| Practice Address |
2916 Clairmont Rd Ne Apt 2413 Brookhaven GA 30329-4476 |
| Practice Telephone | 2565959342 |
| Mailing Telephone | 2565959342 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
007213 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NATIONAL CERTIFIED COUNSELOR | 997665 | 01 |
| GA | GA BOARD OF PROFESSIONAL LICENSING -ASSOCIATE PROFESSIONAL COUNS | 007213 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417451725 | Poonam D Patel | Counselor | 14 Farber Rd Ste 112, Princeton, NJ 08540-5913 | 2018-03-21 |
| 1831488196 | Poonam Patel | Emergency Medicine | 1830 E Monument St Ste 6-100, Baltimore, MD 21287-0020 | 2011-04-06 |
| 1356957344 | Poonam Patel | Nurse Practitioner | 2223 Grant St, Malvern, AR 72104-4700 | 2020-09-16 |
| 1306466727 | Poonam Patel | Student in an Organized Health Care Education/Training Program | 1125 N Church St, Greensboro, NC 27401-1007 | 2020-04-27 |
| 1770005902 | Poonam Patel | Internal Medicine | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2017-07-10 |
| 1174053540 | Poonam Patel | Pharmacist | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2017-06-18 |
| 1841734985 | Poonam Patel | Nurse Practitioner | 3801 Miranda Ave, Palo Alto, CA 94304 | 2016-12-08 |
| 1720430622 | Poonam Patel | Physician Assistant | 1600 E High St, Pottstown, PA 19464-5008 | 2016-07-05 |
| 1548545452 | Poonam Patel | Pharmacist | 4395 Kimball Bridge Rd, Alpharetta, GA 30022-4409 | 2011-10-12 |
| 1295022127 | Poonam Patel | Optometrist | 850 E Golf Rd, Schaumburg, IL 60173-4502 | 2011-06-29 |
| Street Address |
2916 CLAIRMONT RD NE APT 2413 |
| City | BROOKHAVEN |
| State | GA |
| Zip Code | 30329-4476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502974 | Cheryl D Walker | Counselor | 2801 Buford Hwy Ne Ste 195, Brookhaven, GA 30329-2124 | 2020-09-14 |
| 1780220962 | Marisa I Romo | Counselor | 2957 Clairmon Rd Ne, Brookhaven, GA 30329-4447 | 2019-11-21 |
| 1164995593 | Kersten Vanem | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-01-08 |
| 1013247287 | Keynard Edouard | Counselor | 1219 Rainer Rd, Brookhaven, PA 19015-1935 | 2010-01-11 |
| 1730414939 | Sharron Lashawn Cross | Counselor | 2801 Buford Hwy Ne Ste 540, Brookhaven, GA 30329 | 2009-10-06 |
| 1295894699 | Elizabeth Katherine Deegan | Counselor | 4928 Shepard St., Brookhaven, PA 19015 | 2006-12-08 |
| 1336752195 | Suwanne Taquise Sancko | Counselor | 2801 Buford Hwy Ne Ste 540, Brookhaven, GA 30329-2143 | 2020-08-31 |
| 1275145187 | Taylor Mcclendon | Counselor | 2801 Buford Hwy Ne Ste T60, Brookhaven, GA 30329-2145 | 2020-08-21 |
| 1407497621 | Randall K Jones | Counselor | 706 Highway 51 N, Brookhaven, MS 39601-2366 | 2019-09-30 |
| 1942859095 | The Brackette Firm LLC | Counselor | 2002 Summit Blvd, Ste 300, Brookhaven, GA 30319 | 2019-09-10 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 30329 |
Please comment or provide details below to improve the information on POONAM A PATEL.
| 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.