| Medical Psychology Assocs., Pc | |
|
5555 Glenridge Connector Ne 200 Atlanta GA 30342-4759 | |
| (404) 843-4740 | |
| Not Available |
| Full Name | Medical Psychology Assocs., Pc |
|---|---|
| Speciality | Psychologist |
| Location | 5555 Glenridge Connector Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Neil Bruce Rappaport (PRESIDENT) |
| Authorized Official Contact | 4048434740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Psychology Assocs., Pc 5555 Glenridge Connector Ne 200 Atlanta GA 30342-4759 Ph: (404) 843-4740 | Medical Psychology Assocs., Pc 5555 Glenridge Connector Ne 200 Atlanta GA 30342-4759 Ph: (404) 843-4740 |
| NPI Number | 1295916690 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Medicare PECOS PAC ID | 1052300522 |
|---|---|
| Medicare Enrollment ID | O20040510000964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295916690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1550 (Georgia) | Primary |
| Provider Name | Neil B Rappaport |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285751115 PECOS PAC ID: 2062606999 Enrollment ID: I20101104000287 |
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