INSTITUTE FOR BEHAVIORAL MEDICINE (NPI# 1851511851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851511851 |
| Entity Type | Organization |
| Organization Name | INSTITUTE FOR BEHAVIORAL MEDICINE |
| Practice Address |
696 Concord Rd Se Smyrna GA 30082-2629 |
| Practice Telephone | 7703198013 |
| Practice Fax Number | 7703198021 |
| Mailing Telephone | 7703198013 |
| Mailing Fax Number | 7703198021 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2017-03-24 |
| Authorized Official Name | ASHRAF ATTALLA (OWNER) |
| Authorized Official Telephone | 7703198013 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
054960 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649636416 | Institute for Behavioral Medicine | Psychologist | 1210 Pontiac Ave, 3rd Floor, Cranston, RI 02920-4490 | 2016-01-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INSTITUTE FOR BEHAVIORAL MEDICINE | 696 Concord Rd Se, Smyrna, GA 30082-2629 |
| Street Address |
696 CONCORD RD SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30082-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417067489 | Ashraf Attalla | Psychiatry & Neurology | 696 Concord Rd Se, Smyrna, GA 30082-2629 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
| 1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
| 1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
| 1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
| 1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
| 1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
| 1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
| 1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
| 1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
| Find all providers in zip 30082 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982813697 | Augusta Area Psychiatric Associates | Psychologist | 1505 Winter St, Bldg C, Augusta, GA 30904-4819 | 2007-05-21 |
| 1992911234 | Gwendolyn Moddrell Md PC | Psychologist | 247 W Main St # B, Swainsboro, GA 30401-3163 | 2007-05-15 |
| 1508082850 | Elaine L Levin | Psychologist | 3131 E Shadowlawn Ave Ne, Atlanta, GA 30305-2405 | 2007-04-17 |
| 1487059564 | Peachtree Family Psychiatry Clinic | Psychologist | 1776 Peachtree St Nw, Suite 310 North, Atlanta, GA 30309-2307 | 2014-10-30 |
| 1477814242 | A. Benjamin Eubanks, Md, LLC | Psychologist | 2751 Buford Hwy Ne, Suite 204, Atlanta, GA 30324-3207 | 2012-06-07 |
| 1093041584 | Rockdale Psychiatric Associates PC | Psychologist | 1397 Manchester Dr Ne, Conyers, GA 30012-3882 | 2009-10-19 |
| 1467611087 | David William Tascarella | Psychologist | 3975 Roswell Rd Ne, Atlanta, GA 30342-4117 | 2008-06-09 |
| 1578721189 | Insight Psychotherapy & Assessment Services | Psychologist | 1908 Dawson Rd, Albany, GA 31707-3306 | 2008-05-30 |
| 1801054739 | Scott Snyder, M.d., P.C. | Psychologist | 1999 Prince Ave, Athens, GA 30606-6013 | 2008-05-28 |
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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.