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:
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Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295798486 NPPES
Georgia MEDICAID 00136309C

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