Organization Active NPI

Vibert Psychiatric Solutions, LLC

  • Psychiatry Physician
  • Stockbridge, GA
National Provider Identifier
1043030208
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VIBERT PSYCHIATRIC SOLUTIONS, LLC
Practice address
1080 Eagles Landing Pkwy
Stockbridge, GA 30281-5012
Phone
(470) 516-9950
Fax
(470) 221-1821
NPI assigned
Oct 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Iesha Vibert, PMHNPNPI 1548926041
Title
Ceo
Phone
(470) 516-9950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1080 Eagles Landing Pkwy
Stockbridge, GA 30281-5012

Mailing address

108 Lucille LN
McDonough, GA 30252-4969
Phone (470) 516-9950

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2331324Vibert Psychiatric Solutions LLC1080 Eagles Landing Parkway, Stockbridge, GA 30281Certificate of waiverSep 29, 2027

National Provider Directory

National Provider Directory

Locations

1080 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (470) 516-9950

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1043030208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LUCILLE LN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302524969",
            "telephone_number": "470-516-9950",
            "fax_number": "470-221-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815012",
            "telephone_number": "470-516-9950",
            "fax_number": "470-221-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBERT PSYCHIATRIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "VIBERT",
        "authorized_official_first_name": "IESHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-516-9950",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.