SARA RACHEL DECKELBAUM (NPI# 1871861468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871861468 |
Entity Type | Individual |
Full Name | SARA RACHEL DECKELBAUM |
Credential | PSY.D. |
Practice Address |
4939 Lower Roswell Rd Suite B-202 Marietta GA 30068-4338 |
Practice Telephone | 7709713303 |
Practice Fax Number | 7709713314 |
Mailing Telephone | 7709713303 |
Mailing Fax Number | 7709713314 |
Enumeration Date | 2011-12-09 |
Last Update Date | 2011-12-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY003522 | GA | Behavioral Health & Social Service Providers |
Street Address |
4939 LOWER ROSWELL RD SUITE B-202 |
City | MARIETTA |
State | GA |
Zip Code | 30068-4338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003934050 | Ralph S Cohen | Dentist | 4939 Lower Roswell Rd, Marietta, GA 30068-4338 | 2007-03-27 |
1083130736 | Hannah R Wineburg | Social Worker | 4939 Lower Roswell Rd, Marietta, GA 30068-4338 | 2017-08-15 |
1497271159 | Hwh Psychotherapy Inc. | Social Worker | 4939 Lower Roswell Rd, Marietta, GA 30068-4338 | 2017-08-15 |
1467807198 | Jessica Hallberlin | Social Worker | 4939 Lower Roswell Rd, Building C, Suite 201, Marietta, GA 30068-4338 | 2016-05-02 |
1548663644 | Parkaire Consultants, Inc. | Social Worker | 4939 Lower Roswell Rd, Suite 201c, Marietta, GA 30068-4338 | 2014-10-02 |
1730522038 | Berger Psychological Services, P.C. | Psychologist | 4939 Lower Roswell Rd, Suite B-202, Marietta, GA 30068-4338 | 2013-04-17 |
1962767954 | Daec, Inc | Specialist | 4939 Lower Roswell Rd, Suite 104a, Marietta, GA 30068-4338 | 2012-07-06 |
1487943775 | Stacey Cohen Weitzner | Dentist | 4939 Lower Roswell Rd, Marietta, GA 30068-4338 | 2011-04-07 |
1104152453 | Steven Gary Berger | Psychologist | 4939 Lower Roswell Rd, Bldg B - 202, Marietta, GA 30068-4338 | 2009-10-21 |
1578704391 | Emily Danielle Venable | Occupational Therapist | 4939 Lower Roswell Rd, Bldg C, Suite 201, Marietta, GA 30068-4338 | 2009-03-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
Find all providers in zip 30068 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790245173 | Hopebridge, LLC | Psychologist | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2019-03-22 |
1053812537 | Carmen Julia Neyra | Psychologist | 4939 Lower Roswell Rd Bldg C, Marietta, GA 30068-4338 | 2018-02-21 |
1467903609 | Alesya Korey | Psychologist | 821 Devonwood Trl Nw, Marietta, GA 30064-5439 | 2016-10-24 |
1174953780 | Marietta Associated Psychological Services Inc | Psychologist | 2501 E Piedmont Rd Ste 147, Marietta, GA 30062-7754 | 2013-11-18 |
1902248024 | Kavita Joshi Subrahmanian | Psychologist | 1778 Millhouse Run, Marietta, GA 30066-8012 | 2013-07-18 |
1154688877 | Terry A Crump | Psychologist | 134 Powers Ferry Rd Se Ste B, Marietta, GA 30067-7589 | 2012-04-19 |
1710126461 | Susan Sevier Buffington | Psychologist | 4608 Lower Roswell Rd, Marietta, GA 30068-4237 | 2009-02-19 |
1962655324 | Kenneth C Molkner Md PC | Psychologist | 2501 Windy Hill Rd Se, Suite 245, Marietta, GA 30067-8663 | 2008-10-29 |
1205044278 | Lisa Rubin | Psychologist | 282 Village Pkwy Ne, Marietta, GA 30067-4062 | 2007-05-21 |
1588876221 | Richard E. Shook, Ph.d., P.C. | Psychologist | 127 Cherry Street, Marietta, GA 30060 | 2007-05-04 |
Find all providers in MARIETTA |
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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.