Organization Active NPI

Traime Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1033435482
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRAIME BEHAVIORAL HEALTH, INC
Practice address
2020 Howell Mill Rd NW
Suite C213
Atlanta, GA 30318-1732
Phone
(678) 419-0222
NPI assigned
Apr 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Dr. Val Jackson
Title
Ceo
Phone
(678) 419-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2020 Howell Mill Rd NW
Suite C213
Atlanta, GA 30318-1732

Mailing address

2020 Howell Mill Rd NW
Suite C213
Atlanta, GA 30318-1732
Phone (678) 419-0222

Other identifiers 1

IdentifierTypeStateIssuer
913993685AMedicaidGA

National Provider Directory

National Provider Directory

Locations

2020 Howell Mill Rd NW
Ste C213
Atlanta, GA 30318
Phone (678) 419-0222

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/garehaboutreach/r4/

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1033435482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 HOWELL MILL RD NW",
            "address_2": "SUITE C213",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181732",
            "telephone_number": "678-419-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HOWELL MILL RD NW",
            "address_2": "SUITE C213",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181732",
            "telephone_number": "678-419-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAIME BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "VAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-419-0222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913993685A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.