| Pioneer Psychological Associates, Llc | |
|
5605 Glenridge Dr Ne Suite 600 Atlanta GA 30342-1365 | |
| (404) 723-5633 | |
| Not Available |
| Full Name | Pioneer Psychological Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5605 Glenridge Dr Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Daniel Wachtel (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4047235633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Psychological Associates, Llc 860 Johnson Ferry Rd Ste 140-172 Atlanta GA 30342-1435 Ph: (404) 723-5633 | Pioneer Psychological Associates, Llc 5605 Glenridge Dr Ne Suite 600 Atlanta GA 30342-1365 Ph: (404) 723-5633 |
| NPI Number | 1326317488 |
|---|---|
| Provider Enumeration Date | 12/19/2011 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Medicare PECOS PAC ID | 3072780717 |
|---|---|
| Medicare Enrollment ID | O20120119000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326317488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY003012 (Georgia) | Primary |
| Provider Name | Daniel J Wachtel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255463873 PECOS PAC ID: 2466550587 Enrollment ID: I20070613000119 |
Intentional Hearts, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 Northside Pkwy Nw, Bldg 1, Ste 200, Atlanta, GA 30327 Phone: 770-623-3331 | |
Nancy Gup And Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2885 Payton Rd Ne, Atlanta, GA 30345 Phone: 404-634-0014 Fax: 404-728-0043 | |
Atlanta Internal Medicine And Psychiatric Care Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3915 Cascade Rd Sw Ste 360, Atlanta, GA 30331 Phone: 678-973-2370 Fax: 470-819-4995 | |
Advanced Neuropsychiatric Health Professionals Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 Peachford Rd Ste 1, Atlanta, GA 30338 Phone: 404-918-8118 | |
Stratford Medical Group, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3379 Peachtree Rd Ne, Suite 555, Atlanta, GA 30326 Phone: 404-974-9575 | |
Flourishing Minds Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2751 Buford Hwy Ne, 700, Atlanta, GA 30324 Phone: 678-322-7935 Fax: 678-922-2149 | |
Chris 180, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Martin Luther King Dr Sw, Atlanta, GA 30331 Phone: 404-486-9034 Fax: 404-835-9350 |