| Gary Santavicca, Ph.d. And Associates | |
|
340 Boulevard Ne Suite 640 Atlanta GA 30312-1273 | |
| (404) 653-1117 | |
| (404) 880-0133 |
| Full Name | Gary Santavicca, Ph.d. And Associates |
|---|---|
| Speciality | Psychologist |
| Location | 340 Boulevard Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Ayanna Rule (INSURANCE MANAGER) |
| Authorized Official Contact | 4046531117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Santavicca, Ph.d. And Associates 340 Boulevard Ne Suite 640 Atlanta GA 30312-1273 Ph: (404) 653-1117 | Gary Santavicca, Ph.d. And Associates 340 Boulevard Ne Suite 640 Atlanta GA 30312-1273 Ph: (404) 653-1117 |
| NPI Number | 1518171222 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335220409 |
|---|---|
| Medicare Enrollment ID | O20080116000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518171222 | NPI | - | NPPES |
| 00423178B | Medicaid | GA | |
| 00423178A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY001224 (Georgia) | Primary |
| Provider Name | Gary S Santavicca |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124080395 PECOS PAC ID: 4688755747 Enrollment ID: I20080115000140 |
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 | |
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 | |
Jenesys Home Care Atlanta Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3464 Roxboro Rd Ne, Unit 1110, Atlanta, GA 30326 Phone: 757-419-6153 Fax: 757-420-0599 | |
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 |