Defilippis, Nick A
Defilippis, Nick A is an sole proprietor health care provider with primary practice located at 990 Hammond Dr Ne Suite 730, Atlanta GA 30328-5529. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Defilippis, Nick A can be contacted via phone (770) 730-9930.Contact Information
Primary practice address
990 Hammond Dr Ne Suite 730
Atlanta GA 30328-5529
Phone: (770) 730-9930
Fax: (770) 730-0998
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 536 | Georgia |
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 536 | Georgia |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 536 | Georgia |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 536 | Georgia |
Profile Details
NPI number | 1295798486 |
---|---|
LBN Legal business name | Defilippis, Nick A |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 9th, 2006 |
Last updated | Dec 12th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295798486 | NPPES |
Georgia | MEDICAID | 00136309C |
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