AMY RANSOM KINCHELOE (NPI# 1922443100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922443100 |
| Entity Type | Individual |
| Full Name | AMY RANSOM KINCHELOE |
| Credential | PHD |
| Practice Address |
4549 Chamblee Dunwoody Rd Atlanta GA 30338-6210 |
| Practice Telephone | 7706779416 |
| Practice Fax Number | 7706779400 |
| Mailing Telephone | 7706779416 |
| Mailing Fax Number | 7706779400 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
3628 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE BOARD OF EXAMINERS (CLINICAL PSYCHOLOGY) | 3628 | 01 |
| Street Address |
4549 CHAMBLEE DUNWOODY RD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-6210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356429609 | Erika Dyan Cohen | Social Worker | 4549 Chamblee Dunwoody Rd, Atlanta, GA 30338-6210 | 2006-11-02 |
| 1164046157 | Julie Zeff | Social Worker | 4549 Chamblee Dunwoody Rd, Atlanta, GA 30338-6210 | 2020-06-04 |
| 1689296709 | Jennifer Leah Gay | Social Worker | 4549 Chamblee Dunwoody Rd, Atlanta, GA 30338-6210 | 2020-05-12 |
| 1629623749 | Kathryn B Kopp | Social Worker | 4549 Chamblee Dunwoody Rd, Atlanta, GA 30338-6210 | 2019-08-06 |
| 1912415241 | Caroline Eleanor Burkholder | Dietitian, Registered | 4549 Chamblee Dunwoody Rd, Atlanta, GA 30338-6210 | 2018-01-22 |
| 1831544170 | Christine (ling) Olaes | Art Therapist | 4549 Chamblee Dunwoody Rd, Atlanta, GA 30338-6210 | 2016-04-24 |
| 1023403987 | Carly Sonenshine | Social Worker | 4549 Chamblee Dunwoody Rd, Atlanta, GA 30338-6210 | 2015-03-30 |
| 1407260383 | Molly Blair Levine-hunt | Community/Behavioral Health | 4549 Chamblee Dunwoody Rd, Atlanta, GA 30338-6210 | 2014-06-18 |
| 1598030405 | Brittany Jones | Counselor | 4549 Chamblee Dunwoody Rd, Atlanta, GA 30338-6210 | 2012-03-12 |
| 1477825206 | Charlotte Hayes | Counselor | 4549 Chamblee Dunwoody Rd, Atlanta, GA 30338-6210 | 2012-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447542691 | Erin Marie Jones | Psychologist | 1256 Briarcliff Rd Ne Ste 322e, Atlanta, GA 30306-2636 | 2011-05-06 |
| 1053567420 | Ashley Anne Loyd | Psychologist | 3005 Riverstone Trl, Atlanta, GA 30339-8463 | 2008-08-17 |
| 1720272966 | Janet Klebek Patton | Psychologist | 140 Decatur St Se, Suite 1056, Atlanta, GA 30303-3204 | 2007-08-30 |
| 1700087541 | Caroline L Sherrill Phd PC | Psychologist | 6000 Lake Forrest Drive, Suite 103, Atlanta, GA 30328 | 2007-05-30 |
| 1922156074 | Carol Ann Matheson | Psychologist | 2970 Peachtree Rd Nw Ste 110, Atlanta, GA 30305-2110 | 2007-01-08 |
| 1689739948 | Penny A. Hays | Psychologist | 3178 Bolero Way, Atlanta, GA 30341-5762 | 2006-12-27 |
| 1548298755 | Alisa J Manulkin | Psychologist | 980 Hammond Dr Ne, Suite 100, Atlanta, GA 30328-6161 | 2006-06-28 |
| 1114546017 | Joya N Hampton-anderson | Psychologist | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2020-04-10 |
| 1629557145 | Kaitlin Baker Proctor | Psychologist | 1920 Briarcliff Rd Ne, Atlanta, GA 30329-4010 | 2018-08-07 |
| 1518497577 | Naadira Christine Upshaw | Psychologist | 1405 Clifton Rd Ne, Atlanta, GA 30322-1832 | 2017-06-13 |
| 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.