City to City Psychiatric Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

048985 Issued in GA

Legal business name

CITY TO CITY PSYCHIATRIC SERVICES

Practice address

4163 Idlewood Parc CT
Tucker, GA 30084-7833

Phone

(678) 637-5216

NPI assigned

Apr 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Keisha Brown, M.D.NPI 1093938276

Title

Ceo-Child & Adolescent Psychiatrist

Phone

(678) 637-5216

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keisha Brown, M.D.

  • Child & Adolescent Psychiatry Physician
  • Tucker, GA
  • NPI 1093938276
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003039215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4163 IDLEWOOD PARC CT",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847833",
            "telephone_number": "678-637-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4163 IDLEWOOD PARC CT",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847833",
            "telephone_number": "678-637-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY TO CITY PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "CEO-CHILD & ADOLESCENT PSYCHIATRIST",
        "authorized_official_telephone_number": "678-637-5216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "048985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Gary Chrzan, D.D.S., PH.D
• Shu-Hui Chuang
• Joshua Chung, PHARMD
• Ashley Church, APC, NCC
• City Psychiatry LLC
• Julia Marie Clark, PA
• Kaitlyn Mary Clark, LPC
• Kaylen Clark
• Meghan Clark, M.S.
• Clearstone Counseling LLC

• Psychiatry Physician in Tucker, GA
• Providers in Tucker, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.