Upreach, Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

UPREACH, INC

Practice address

2950 Mount Wilkinson Pkwy SE Unit 1001
Atlanta, GA 30339-3681

Phone

(404) 558-2055

Fax

(470) 237-2396

NPI assigned

Feb 10, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Richard R Mouzon, PHDNPI 1023223864

Title

Ceo

Phone

(404) 558-2055

Specialties & licenses 1

Addresses

Other names 1

• UpReach Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Richard R. Mouzon, PHD

  • Psychologist
  • Atlanta, GA
  • NPI 1023223864
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1083311906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303641250",
            "telephone_number": "404-558-2055",
            "fax_number": "470-237-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 MOUNT WILKINSON PKWY SE UNIT 1001",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393681",
            "telephone_number": "404-558-2055",
            "fax_number": "470-237-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPREACH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "MOUZON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-558-2055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UpReach Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Upchurch
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• Upper Specific
• Charles Calvin Upshaw III, M.D.
• Upshaw, Millington Therapeutic Restoration, LLC
• Naadira Christine Upshaw, PSY.D.
• Thomas Stephen Upshaw, MD
• Upspring ABA, LLC

• Adult Mental Health Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.