Gary Santavicca, Ph.D. And Associates

LBN: Gary Santavicca, Ph.D. And Associates
Gary Santavicca, Ph.D. And Associates is an health care organization with primary practice located at 340 Boulevard Ne Suite 640, Atlanta GA 30312-1273. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Gary Santavicca, Ph.D. And Associates can be contacted via phone (404) 653-1117, or through Rule, Ayanna via phone (404) 653-1117.

Contact Information

Primary practice address
340 Boulevard Ne Suite 640 Atlanta GA 30312-1273
Phone: (404) 653-1117
Fax: (404) 880-0133
Website:
Map and Directions
Authorized official contact:
Name: Rule, Ayanna
Phone: (404) 653-1117

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY001224 Georgia

Profile Details

NPI number 1518171222
LBN Legal business name Gary Santavicca, Ph.D. And Associates
DBA Doing business as
Authorized official Rule, Ayanna
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518171222 NPPES
Georgia MEDICAID 00423178B
Georgia MEDICAID 00423178A

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