Hillside, Inc.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

060-411 Issued in GA

Legal business name

HILLSIDE, INC.

Practice address

690 Courtenay Drive
Atlanta, GA 30306

Phone

(404) 875-4551

Fax

(404) 892-2201

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Paulette Stoker, M.ED.

Title

Ceo

Phone

(404) 875-4551

Specialties & licenses 1

Addresses

Other names 1

• Hillside Hospital Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Psychiatric residential treatment facility certification: CCN 11L007

Legal name

HILLSIDE, INC

Certification status

Active

Provider type (POS)

Psychiatric residential treatment facility

Participating since

Aug 22, 2013

Last certification

Aug 17, 2017

Beds

76

Ownership / control type

Non-profit – corporation

Facility address

690 Courtenay Drive, NE
Atlanta, GA 30306

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rana Sibai-Drake, MD

  • Child & Adolescent Psychiatry Physician
  • Atlanta, GA
  • NPI 1063696482
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023219284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 COURTENAY DRIVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30306",
            "telephone_number": "404-875-4551",
            "fax_number": "404-892-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 COURTENAY DRIVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30306",
            "telephone_number": "404-875-4551",
            "fax_number": "404-892-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOKER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "PAULETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-875-4551",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "GA",
            "license": "060-411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillside Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jemila Hillman
• Katie L Hillman, CPNP
• Ruth Hillo
• Sherry Hills, PSY.D.
• Hillside Atlanta Community Development Corporation
• Christopher D. Hillyer, M.D.
• Krista L. Hillyer, M.D.
• Margot Murnane Hillyer, MD
• Lauren Ann Hilt, MD
• Brianna Hilton

• Psychiatric Residential Treatment Facility in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatric Residential Treatment Facility 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.