Active NPI
Vibert Psychiatric Solutions, LLC
- Psychiatry Physician
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Iesha Vibert, PMHNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2331324 | Vibert Psychiatric Solutions LLC | Certificate of waiver | Sep 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Stockbridge, GA
- NPI 1548926041
-
- Mental Health Counselor
- Conyers, GA
- NPI 1417732769
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.