Organization Active NPI

Universal Treatment Services

  • Psychiatric Residential Treatment Facility
  • Duluth, GA
National Provider Identifier
1073252417
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
UNIVERSAL TREATMENT SERVICES
Practice address
11340 Donnington Dr
Duluth, GA 30097-8413
Phone
(813) 997-2397
NPI assigned
Jun 2, 2022
Last updated
Jun 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Dr. Jeffery HaynesNPI 1245559566
Title
Ceo
Phone
(813) 997-2397

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
Psychiatric Residential Treatment Facility 323P00000X NU Primary

Addresses

Primary practice location

11340 Donnington Dr
Duluth, GA 30097-8413

Mailing address

4960 Atwood Dr
Orlando, FL 32828-7302

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jhaynes@gmbhc.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1073252417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 ATWOOD DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 DONNINGTON DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978413",
            "telephone_number": "813-997-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-997-2397",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jhaynes@gmbhc.com",
            "affiliation": "N",
            "address_1": "4960 Atwood Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328287302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.