POPULATIONS AND INTERVENTIONS TEAM COMPANY (PITC) (NPI# 1992224869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992224869 |
Entity Type | Organization |
Organization Name | POPULATIONS AND INTERVENTIONS TEAM COMPANY (PITC) |
Practice Address |
3182 Berthas Overlook Douglasville GA 30135-8458 |
Practice Telephone | (678) 310-9707 |
Practice Fax Number | 4708750083 |
Mailing Telephone | 6783109707 |
Mailing Fax Number | 4708750083 |
Enumeration Date | 2017-09-12 |
Last Update Date | 2017-09-12 |
Authorized Official Name | DR. MERCEDES MERRITT WILLIAMS (CEO/OWNER) |
Authorized Official Telephone | 6783109707 |
Authorized Official Credential | DBH, MPH. ABVE, |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
28315 | IN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730557729 | Populations and Interventions Team Company (pitc) | Preventive Medicine | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2015-09-08 |
1285144568 | Populations and Interventions Team Company (pitc) | Preventive Medicine | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-10-02 |
1700305646 | Populations and Interventions Team Company (pitc) | Psychologist | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-12 |
1285153122 | Populations and Interventions Team Company (pitc) | Specialist | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-12 |
1184143042 | Populations and Interventions Team Company (pitc) | Rehabilitation Counselor | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-12 |
Street Address |
3182 BERTHAS OVERLOOK |
City | DOUGLASVILLE |
State | GA |
Zip Code | 30135-8458 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730557729 | Populations and Interventions Team Company (pitc) | Preventive Medicine | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2015-09-08 |
1285144568 | Populations and Interventions Team Company (pitc) | Preventive Medicine | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-10-02 |
1730608522 | Populations and Interventions Team Company | Prevention Professional | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-13 |
1700305646 | Populations and Interventions Team Company (pitc) | Psychologist | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-12 |
1285153122 | Populations and Interventions Team Company (pitc) | Specialist | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-12 |
1184143042 | Populations and Interventions Team Company (pitc) | Rehabilitation Counselor | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-12 |
1952820086 | Mercedes Merritt Williams | Psychologist | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
Find all providers in zip 30135 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
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1215403340 | Camino Psychological Services, LLC | Psychologist | 2450 Atlanta Hwy Ste 1903, Cumming, GA 30040-1237 | 2018-10-16 |
1790299386 | Marcus Dawson | Psychologist | 498 Hudgeons Rd, Warrenton, GA 30828-5444 | 2017-11-19 |
1992245732 | Cynthia Anita Hucks-smith | Psychologist | 5012 Paulsen St., Bldg 7, Savannah, GA 31405-4624 | 2017-02-27 |
1720483340 | Jessica Haley Geddes | Psychologist | 595 Wimbledon Rd Ne, Atlanta, GA 30324-4965 | 2014-10-24 |
1366847097 | Lydia Odenat | Psychologist | 1640 Powers Ferry Rd Se Bldg 18-250, Marietta, GA 30067-9461 | 2014-10-23 |
1801145354 | Richard M Anderson | Psychologist | 21 Windsor On The Marsh, Savannah, GA 31419-2409 | 2012-08-30 |
1023341518 | Christine R Petro, Psy.d., LLC | Psychologist | 69 Grayson New Hope Rd, Grayson, GA 30017 | 2009-09-15 |
1982879425 | Sara Michelle Velez | Psychologist | 645 Hembree Pkwy Ste A, Roswell, GA 30076-3868 | 2008-04-25 |
1033394820 | Mark Gilson Phd PC | Psychologist | 1772 Century Boulevard, Ne, Atlanta, GA 30345-3396 | 2007-12-31 |
1316159569 | Paul Lavere Fair | Psychologist | 3580 Piedmont Road, Suite 220, Atlanta, GA 30305-1506 | 2007-05-03 |
Find all providers with the same taxonomy |
City | DOUGLASVILLE |
Zip Code | 30135 |
Please comment or provide details below to improve the information on POPULATIONS AND INTERVENTIONS TEAM COMPANY (PITC).
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.