JOSEPH T ELDER, PSY.D., P.C. NPI 1003040395

Clinical Neuropsychologist in Decatur, GA

NPI 1003040395 Organization Clinical Neuropsychologist

About JOSEPH T ELDER, PSY.D., P.C.

Joseph T Elder, Psy.d., P.c. is a provider established in Decatur, Georgia specializing in clinical neuropsychologist. The NPI number of Joseph T Elder, Psy.d., P.c. is 1003040395 and was assigned on May 2009. The practitioner's primary taxonomy code is 103G00000X with license number PSY002698 (GA). The provider is registered as an organization and their NPI record was last updated 12 years ago. Joseph T Elder, Psy.d., P.c. operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Joseph Thomas Elder Psy.d. (Clinical Neuropsychologist)

NPI

1003040395

Provider NameJOSEPH T ELDER, PSY.D., P.C.
Provider Location Address1439 MCLENDON DR STE D DECATUR, GA 30033
Provider Mailing AddressPO BOX 407 TUCKER, GA 30085
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-14-2009
Last Update Date08-15-2009


Primary Taxonomy

Taxonomy Code103G00000X
ClassificationClinical Neuropsychologist
TypeBehavioral Health & Social Service Providers
License No.PSY002698
License StateGA
Taxonomy DescriptionA clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Business Address

JOSEPH T ELDER, PSY.D., P.C.
1439 MCLENDON DR STE D
DECATUR, GA
ZIP 30033
Phone: (404) 493-4381
Fax: (770) 934-3280

Get Directions


Mailing Address

JOSEPH T ELDER, PSY.D., P.C.
PO BOX 407
TUCKER, GA
ZIP 30085
Phone: (404) 493-4381
Fax: (770) 934-3280



Authorized Official

Authorized Official NameDR. JOSEPH THOMAS ELDER PSY.D.
Authorized Official TitleCLINICAL NEUROPSYCHOLOGIST
Authorized Official Phone(404) 493-4381

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
Q22703MEDICARE UPIN (02)GA
68BBGJWMEDICARE PIN (08)GA

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518991967DR. JOSEPH T. ELDER PSY.D.
Individual
Clinical Neuropsychologist1439 MCLENDON DR STE D
DECATUR, GA 30033
(404) 493-4381
1770648552DR. VIVIAN SUE AUERBACH PH.D.
Individual
Clinical Neuropsychologist1439 MCLENDON DR STE D
DECATUR, GA 30033
(404) 982-0222
1710144001WILLIAM J. MCINTOSH PHD PC
Organization
Clinical Neuropsychologist1439 MCLENDON DR STE D
DECATUR, GA 30033
(770) 493-9777

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.