Active NPI
Traime Behavioral Health, Inc
- Community/Behavioral Health Agency
- Atlanta, GA
National Provider Identifier
1033435482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 913993685A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
2020 Howell Mill Rd NW
Ste C213
Atlanta, GA 30318
Phone (678) 419-0222
Interoperability endpoints
- 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.