ANGELA R BETHEA (NPI# 1811227127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811227127 |
| Entity Type | Individual |
| Full Name | ANGELA R BETHEA |
| Practice Address |
315 West Ponce De Leon Avenue Suite 350 Decatur GA 30030-2490 |
| Practice Telephone | 4043732220 |
| Practice Fax Number | 4043739337 |
| Mailing Telephone | 4043732220 |
| Mailing Fax Number | 4043739337 |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY003270 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508072901 | Angela Bethea | Physician Assistant | 920 2nd Ave S, Suite 400, Minneapolis, MN 55402-3318 | 2007-05-15 |
| Street Address |
315 WEST PONCE DE LEON AVENUE SUITE 350 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992036644 | Judy M Iturmendi | Psychologist | 315 West Ponce De Leon Avenue, Suite 350, Decatur, GA 30030-2490 | 2010-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| 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 |
|---|---|---|---|---|
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1841736535 | Anna Trad and Associates | Psychologist | 1244 Clairmont Rd Ste 204, Decatur, GA 30030-1263 | 2017-01-18 |
| 1871980383 | Tomina Jean Schwenke | Psychologist | 748 Livingston Pl, Decatur, GA 30030-3947 | 2015-04-22 |
| 1215365697 | Geraldine Oxhandler | Psychologist | 16465 Parker St, Decatur, MI 49045-9467 | 2013-10-23 |
| 1063715290 | Douglas E Webb | Psychologist | 685 Densley Dr, Decatur, GA 30033-5445 | 2010-12-09 |
| 1215158993 | Carmen Lita Vargo-moncier | Psychologist | North Alabama Regional Hospital, 4218 Us Highway 31 South, Decatur, AL 35603-5039 | 2007-05-01 |
| 1881741353 | Carl Telles Clarke | Psychologist | 1834 Clairmont Rd, Decatur, GA 30033-3405 | 2007-01-05 |
| 1861554776 | Regina Delicia Ward | Psychologist | 3553b Memorial Dr, Decatur, GA 30032-2711 | 2006-12-15 |
| 1891867313 | Visionary Minds Inc. | Psychologist | 315 W Ponce De Leon Ave., Ste 525, Decatur, GA 30030-2486 | 2006-11-14 |
| 1699844977 | Katherine Vivian Bruss | Psychologist | 1244 Clairmont Rd Ste 101, Decatur, GA 30030-1250 | 2006-11-08 |
| Find all providers in DECATUR | ||||
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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.