Provider Demographics
NPI:1841618980
Name:BERKELEY MEDICINE & CONSULTING
Entity Type:Organization
Organization Name:BERKELEY MEDICINE & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MALAIKA
Authorized Official - Middle Name:E
Authorized Official - Last Name:BERKELEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-538-6422
Mailing Address - Street 1:201 17TH ST NW
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30363-1098
Mailing Address - Country:US
Mailing Address - Phone:678-538-6422
Mailing Address - Fax:678-538-6423
Practice Address - Street 1:201 17TH ST NW
Practice Address - Street 2:SUITE 300
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30363-1098
Practice Address - Country:US
Practice Address - Phone:678-538-6422
Practice Address - Fax:678-538-6423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-05
Last Update Date:2014-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0575822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty